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320 Possible Causes for Hypotension, Laryngeal Stridor

  • Shy Drager Syndrome

    We suggest that vasopressin may be the drug of choice in patients with Shy-Drager syndrome with refractory hypotension.[ncbi.nlm.nih.gov] Orthostatic hypotension, laryngeal stridor, hoarseness, intermittent glottal fry and slow speech rate were found to be discriminating symptoms of SDS.[ncbi.nlm.nih.gov] The autonomic abnormalities are seldom the direct cause of death A significant number of patients develop laryngeal stridor and difficulty swallowing, which can lead to pneumonia[mc.vanderbilt.edu]

  • Anaphylaxis

    Use of vasopressors should be considered if hypotension persists.[ncbi.nlm.nih.gov] […] wheezing Lip swelling Rhinitis Stridor Tongue edema Cutaneous/mucosal tissue Most common symptoms Urticaria Generalized pruritus without rash Angioedema Erythema/flush Conjunctivitis[arupconsult.com] The hypotensive state was refractory to large amount of crystalloid infusion and a series of examinations were performed to determine the shock etiology.[ncbi.nlm.nih.gov]

  • Laryngeal Stridor

    We agree with the authors who consider that the absence/presence of orthostatic hypotension may be taken as discriminant for this purpose.[ncbi.nlm.nih.gov] Two patients with laryngeal stridor secondary to myasthenia gravis are reported.[ncbi.nlm.nih.gov] However, dystonia in the laryngeal adductor muscles has also been reported to cause laryngeal stridor.[ncbi.nlm.nih.gov]

  • Hyperkalemia

    An 85 year-old woman on a drug regimen of sotalol, valsartan, spironolactone, and trimethoprim-sulfamethoxazole presented to the emergency department with hypotension and[ncbi.nlm.nih.gov] As respiratory compromise becomes more severe, serious upper airway (laryngeal) edema may cause stridor and lower airway edema (asthma) may cause wheezing.[doi.org] Amal Mattu’s ECG Case of the Week – January 21, 2019 HPI: A 50-year-old male is brought into the emergency department from prison with bradycardia, hypotension, and altered[ecgweekly.com]

  • Bilateral Vocal Cord Paralysis

    Shy-Drager syndrome consists of progressive autonomic nervous system failure with Parkinson's disease-like symptoms and orthostatic hypotension.[ncbi.nlm.nih.gov] stridor ( P28.89 ) obstructive laryngitis (acute) ( J05.0 ) postprocedural subglottic stenosis ( J95.5 ) stridor ( R06.1 ) ulcerative laryngitis ( J04.0 ) Use Additional[icd10data.com] He was being investigated neurologically and was found to have several types of autonomic failure, specifically including postural hypotension.[ncbi.nlm.nih.gov]

  • Laryngeal Edema

    Hypotension with vagal-induced bradycardia (vaso-vagal reaction) is seen in patients presenting with symptoms of hypotension plus a very slow heart rate.[appliedradiology.com] OBJECTIVE: To evaluate the risk factors for postextubation laryngeal stridor and its prevention by hydrocortisone in adult patients.[ncbi.nlm.nih.gov] Incidence of postextubation laryngeal edema, stridor, and respiratory failure Postextubation laryngeal edema and stridor Earlier studies have reported an incidence of PLE[ncbi.nlm.nih.gov]

  • Overdose

    Amlodipine, a dihydropyridine CCB, can cause prolonged hypotension in overdose.[ncbi.nlm.nih.gov] As respiratory compromise becomes more severe, serious upper airway (laryngeal) edema may cause stridor and lower airway edema (asthma) may cause wheezing.[doi.org] She was admitted to the pediatric intensive care unit for rapidly deteriorating hypotension (lowest blood pressure 47/19 mm Hg) refractory to aggressive fluid resuscitation[ncbi.nlm.nih.gov]

  • Striatonigral Degeneration

    Sleeping in a head-up position at night reduces morning orthostatic hypotension.[alzheimer-europe.org] Other symptoms can include depression, emotional lability (fluctuations of emotional state), hyperreflexia, extensor plantar (sole) response, myoclonus, or laryngeal stridor[encyclopedia.com] The autonomic abnormalities are seldom the direct cause of death A significant number of patients develop laryngeal stridor and difficulty swallowing, which can lead to pneumonia[ww2.mc.vanderbilt.edu]

  • Angioedema

    After he received intravenous alteplase infusion, he developed orolingual angioedema followed by transient bradycardia with subsequent hypotension, resulting in the deterioration[ncbi.nlm.nih.gov] Up to 20% of patients experience dyspnea, dysphagia, dysphonia, and stridor, which may progress rapidly to life-threatening airway obstruction unless treated.[americannursetoday.com] Physical examination revealed a swollen tongue and no hypotension, rash, bronchospasm, urticaria, or flushing.[nejm.org]

  • Theophylline Poisoning

    Clinical features included nausea, tremor, delirium, hypotension and cardiac arrhythmias, metabolic acidosis, hyperglycemia, hypokalemia and hypophosphatemia.[ncbi.nlm.nih.gov] Therefore, the administration of intramuscular epinephrine, preferably within the baroreceptors of the cause of stridor include laryngeal or hypopharyngeal walls from the[smj.org.sa] CAVEAT: Barbiturates can precipitate hypotension. Phenobarbital has the added advantage of enhancing the hepatic metabolism of theophylline.[emedicine.medscape.com]

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