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22 Possible Causes for Hypotension, Status post Thyroidectomy

  • Hypokalemia

    Intravenous fluid boluses of normal saline (10.5 L in about 24 h) and vasopressors were started with rapid correction of hypotension.[ncbi.nlm.nih.gov] […] rhythyms Constipation Fatigue Muscle Damage Muscle Weakness or spasms Paralysis [2] Nausea and vomiting Polyuria, nocturia or polydipsia Altered mental status Signs of Ileus Hypotension[physio-pedia.com] We conclude that rapid correction of respiratory acidosis, especially in the setting of hypotension, can lead to life-threatening hypokalemia.[ncbi.nlm.nih.gov]

  • Atenolol

    She then developed prolonged bradycardia and hypotension which necessitated the use of adrenaline and isoprenaline.[ncbi.nlm.nih.gov] Husein M, Hier MP, Al-Abdulhadi K, Black M 2002 Predicting calcium status post-thyroidectomy with early calcium levels. Otolaryngol Head Neck Surg 127: 289–293.[dx.doi.org] […] premedication with oral atenolol or enalapril, in combination with remifentanil under sevoflurane anesthesia, on intraoperative blood loss by achieving adequate deliberate hypotension[ncbi.nlm.nih.gov]

  • Nadolol

    , vertigo, syncope, postural hypotension).[pdr.net] Husein M, Hier MP, Al-Abdulhadi K, Black M 2002 Predicting calcium status post-thyroidectomy with early calcium levels. Otolaryngol Head Neck Surg 127: 289–293.[doi.org] The mechanism responsible is complex, the acute effect being mainly modulated by arterial hypotension and the chronic effect by changes in portal resistance.[ncbi.nlm.nih.gov]

  • Thyroid Crisis

    […] sweating Thyroid Storm characteristics TSH level usually too low to detect -T3, T4 are elevated and Free T3 & T4 may be very elevated -CXR may show pulmonary edema -pt develops hypotension[quizlet.com] Husein M, Hier MP, Al-Abdulhadi K, Black M 2002 Predicting calcium status post-thyroidectomy with early calcium levels. Otolaryngol Head Neck Surg 127: 289–293.[doi.org] High fever (106 degrees F or higher) Irritability Delirium or Coma Tachycardia Hypotension Vomiting Diarrhea Treatment for these patients is largely focused on supportive[medictests.com]

  • Hypocalcemia

    Abstract Intradialytic hypotension is the most common complication associated with hemodialysis.[ncbi.nlm.nih.gov] […] cause Hypoparathyroidism which develops status post total thyroidectomy or completion thyroidectomy Occurs 0% to 46% of patients after total thyroidectomy depending on definition[medicine.uiowa.edu] Other signs and symptoms include mental status changes, tetany, laryngospasm, Chvostek (facial nerve) and Trousseau (brachial artery occlusion) signs, hypotension, and arrhythmias[openanesthesia.org]

  • Renal Cortical Necrosis

    Hypotension was not observed when anuria occurred. Both patients survived.[ncbi.nlm.nih.gov] Past medical history included thyroid cancer status post thyroidectomy followed by radioactive iodine therapy 10 years ago, interosseous lipoma, hyperlipidemia, history of[wjgnet.com] The diagnosis of RCN was suspected in patients with prolonged AKI ( 4 weeks) with absolute anuria in the setting of hemorrhage, hypotension and sepsis; and was confirmed by[ncbi.nlm.nih.gov]

  • Acute Mediastinitis

    Patients may also present with odynophagia, dyspnea, tachypnea, cyanosis, tachycardia, fever, and hypotension which may develop within hours of the perforation.[journals.lww.com] Status post total thyroidectomy showing postoperative changes in the form of diffuse subcutaneous thickening and two surgical drains are seen within the operative bed in anterior[radiopaedia.org] Patients usually appears toxic with clinical evidence of sepsis, including tachypnea, tachycardia, fever, chills/rigors, and hypotension/shock.[cancertherapyadvisor.com]

  • Mediastinitis

    He had high fever, chest pain with tachypnea, tachycardia, hypotension, and showed signs of occasional disorientation.[ncbi.nlm.nih.gov] Status post total thyroidectomy showing postoperative changes in the form of diffuse subcutaneous thickening and two surgical drains are seen within the operative bed in anterior[radiopaedia.org] Patients may present with hypotension and clinical signs of sepsis (rare with empyema alone).[clinicaladvisor.com]

  • Pretibial Myxedema

    Cardiovascular Cardiac contractility is impaired, leading to reduced stroke volume, low cardiac output, bradycardia and sometimes hypotension. [6] Reduced stroke volume in[emedicine.medscape.com] We present a 62-year-old patient with past medical history significant for Graves’ disease now status post thyroidectomy and surgical intervention for exophthalmos who presented[eposters.net] The patient had a past medical history significant for Graves’ disease (a greater than 10-year history), status post thyroidectomy, exophthalmos with lid lag, hypertension[podiatrytoday.com]

  • Myopathy, Endocrine

    It causes various symptoms, including hypotension and hyperpigmentation, and can lead to adrenal crisis with cardiovascular collapse.[msdmanuals.com] Thyroid disease In the patient with thyroid disease, management focuses on airway changes related to thyroid growth or post-thyroidectomy changes, cardiac status, particularly[clinicalpainadvisor.com] […] cardiac symptoms Myxedema coma The only emergent hypothyroid condition Precipitated by cold exposure infection analgesics drugs spontaneous Presentation stupor coma seizures hypotension[medbullets.com]

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