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31 Possible Causes for Hypotension, Starvation Ketosis, Uric Acid Increased

  • Diabetic Ketotic Coma

    Therefore, a patient with starvation ketosis rarely presents with a serum bicarbonate concentration less than 18 mEq/L.[clinicaladvisor.com] , hypokalemia anorexia causes hypotension, dehydration, and mild ketosis neurologic signs – coma (occurs in 20% of patients) or focal symptoms (stroke-like but resolve with[d3jonline.tripod.com] These biochemical changes are frequently associated with increased anion gap, increased serum osmolarity and increased serum uric acid. (See Clinical Presentation.)[emedicine.medscape.com]

  • Diabetes Insipidus

    Consequently, serum uric acid values 5 mcg/dl are more suggestive of DI than PP, but not diagnostic because of other potential causes of hyperuricemia.[endocrinologyadvisor.com] ketosis.”[pedemmorsels.com] We report vasopressin (AVP) responses to hypotension in nine patients with ADI and nine controls.[ncbi.nlm.nih.gov]

  • Acidosis

    […] anion gap metabolic acidosis M M ethanol (formic acid), metformin U U raemia (including aminoglycosides) R R enal failure (Uric acid) K K etoacidosis (alcohol, diabetes ([lifeinthefastlane.com] , alcohol and DKA) Download PDF of GOLDMARK mnemonic Osmolar Gap common differential diagnosis Ketoacids (DKA, AKA, starvation ketosis) Alcohols Sepsis Ischemia Sodium bicarbonate[emergencymedicinecases.com] Incidence of hypotension did not differ between groups (54.5% vs. 61.9%, p   .63).[ncbi.nlm.nih.gov]

  • Hyperuricemia

    Grayson and his team were able to determine if uric acid independently increases the risk for hypertension.[news-medical.net] Decreased tubular secretion of urate occurs in patients with acidosis (eg, diabetic ketoacidosis, ethanol or salicylate intoxication, starvation ketosis).[emedicine.com] Hypotension and mild hyperkalemia may be present in children and young adults with this condition.[ncbi.nlm.nih.gov]

  • Diabetes Mellitus

    In addition, although alcoholic ketoacidosis can result in profound acidosis, the serum bicarbonate concentration in starvation ketosis is usually not 4 ).[web.archive.org] This case demonstrates a role for comprehensive autonomic function testing in the workup of orthostatic hypotension after LVAD implantation.[ncbi.nlm.nih.gov] […] lowering uric acid levels prevented the increase in mean arterial blood pressure ( 40 ).[doi.org]

  • Gouty Arthritis

    Decreased tubular secretion of urate occurs in patients with acidosis (eg, diabetic ketoacidosis, ethanol or salicylate intoxication, starvation ketosis).[emedicine.com] CHLOROTHIAZIDE has recently been shown to be a potent diuretic agent 1 for oral use and to have an important antihypertensive effect 2 given in conjunction with other hypotensive[nejm.org] On follow-up, it was confirmed that as serum C3 level returned to normal, urinary excretion of uric acid increased and serum uric acid level decreased, thereby resolving the[ncbi.nlm.nih.gov]

  • Chronic Alcoholism

    Ethanol also causes structural abnormalities in the liver mitochondria which leads to ketosis superimposed by starvation, chronic malnutrition [ 13, 14 ].[pubs.sciepub.com] Attention has been drawn to recent literature in which the importance of vascular insufficiency, hypotension and disturbance of fluid and electrolyte balance in the occurrence[ncbi.nlm.nih.gov] Gout Gout is a type of arthritis caused by the formation of uric acid crystals in the joints. It can be very painful.[onhealth.com]

  • Metabolic Acidosis

    […] anion gap metabolic acidosis M – M ethanol (formic acid), metformin U – U raemia (including aminoglycosides) R – R enal failure (Uric acid) K – K etoacidosis (alcohol, diabetes[lifeinthefastlane.com] , alcohol and DKA) Download PDF of GOLDMARK mnemonic Osmolar Gap common differential diagnosis Ketoacids (DKA, AKA, starvation ketosis) Alcohols Sepsis Ischemia Sodium bicarbonate[emergencymedicinecases.com] However, a change in consciousness and hypotension subsequently developed 6h later, combined with severe metabolic acidosis (pH7.16), high anion gap (25.5), and high osmolal[ncbi.nlm.nih.gov]

  • Chronic Gouty Nephropathy

    ketosis Chronic myeloproliferative disease Psoriasis Secondary hyperuricosuria: primary gout, excessive purine intake, tubular reabsorptive defect, uricosuric drugs (e.g.[unboundmedicine.com] […] vesicoureteric reflux, with radiological appearance of intrarenal reflux. salt-losing nephropathy any intrinsic renal disease causing abnormal urinary sodium loss to the point of hypotension[medical-dictionary.thefreedictionary.com] acid - increased uric acid retention and deposition complicatons urate stone formation may occur increased risk of pyelonephritis acute urate nephropathy presents as acute[zen104556.zen.co.uk]

  • Diabetic Ketoacidosis

    It is possible that starvation ketosis contributed to the development of the high anion gap metabolic acidosis in our patient.[nature.com] We describe a previously healthy adolescent boy who presented with respiratory distress, hypotensive shock, and a diffuse erythematous rash.[ncbi.nlm.nih.gov] These biochemical changes are frequently associated with increased anion gap, increased serum osmolarity and increased serum uric acid. (See Clinical Presentation.)[emedicine.medscape.com]

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