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21 Possible Causes for Hypothyroidism, Prolonged Capillary Refill

  • Phenytoin Toxicity

    During admission she was found to be profoundly hypothyroid despite being on adequate thyroid replacement therapy.[] On exam, the child was hypothermic with pink mottled skin, poor responsiveness, prolonged capillary refill, abdominal distension with hypoactive bowel sounds, and a dysconjugate[] Further laboratory tests led to the diagnosis of hypothyroidism, and treatment was initiated.[]

  • Hypovolemia

    Prolonged capillary refill ( 2 seconds) , especially when combined with tachycardia, is more specific, although it may be difficult to measure.[] Prolonged capillary refill time (pressing on the nail) and orthostatic hypotension are not reliable signs of mild to moderate hypovolemia 5 .[]

  • Enterovirus Infection

    In addition, 3 children (60%) in the IgM-positive group were overtly hypothyroid at diagnosis of AIT, compared to no child (0%) in the IgM-negative group (p 0.01).[] The newborn was cyanotic, in respiratory distress, with tachycardia, low blood pressure and prolonged capillary refilling time. Limb pulse oximeter was around 85%.[]

  • Compartment Syndrome

    This case represents a rare association between acute compartment syndrome and uncontrolled hypothyroidism.[] Congestion of the digits with prolonged capillary refill time.[] CASE REPORTS Simvastatin-induced bilateral leg compartment syndrome and myonecrosis associated with hypothyroidismA 54-year-old hypothyroid maletaking thyroxine and simvastatinpresented[]

  • Hypernatremia

    Endocrinopathies, such as diabetes insipidus, hypothyroidism, hypocorticism, and growth hormone deficiency, are frequently associated with HPE. Seizures may occur.[] The infant was febrile, tachycardic, tachypneic, lethargic, and had a prolonged capillary refill. Initial serum sodium was 197 mmol/L.[] Hormonal deficiency (hypothyroidism and adrenal insufficiency) should be identified and corrected promptly.[]

  • Hypovolemic Shock

    Prolonged capillary refill ( 2 seconds) , especially when combined with tachycardia, is more specific, although it may be difficult to measure.[] If the 5th toe is cold with a prolonged capillary refill, I progress to the other toes, up the foot, then the leg.[] The periphery may be cold from poor perfusion, and capillary refill time may be prolonged. However, this can be a poor indicator of hypovolaemia.[]

  • Upper Gastrointestinal Hemorrhage

    capillary refill times (CRT 2 s) Decreased skin turgor Reduced jugular venous pressure (JVP) Sunken eyes Dry lips, mouth and tongue Tachycardia Postural hypotension Absolute[] refill time – prolongation ( 2 seconds) suggests hypovolaemia Assess peripheral pulse for rate and rhythm (tachycardia and a thready pulse suggests volume depletion) Assess[] […] reduced conscious level Breathing Kussmaul’s breathing: hyperventilation to compensate for metabolic acidosis manifesting as ‘air hunger’ Circulation Cold, pale peripheries Prolonged[]

  • Primary Erythromelalgia

    Differential diagnoses include: Raynaud’s syndrome; complex regional pain syndrome; systemic lupus erythematosus; scleroderma; juvenile rheumatoid arthritis; dermatomyositis; hypothyroidism[] TRPV1 channels are non commoner in epileptic patients prolonged capillary refill time, proteins capable of transporting primary afferent neurons Caterina et al.[] Hypothyroidism . Taking oral thyroid hormone raises low thyroid levels, often reversing neuropathy as well as burning feet symptoms. GBS and CIDP.[]

  • Intestinal Atresia

    After excluding hypothyroidism, a barium enema was performed which revealed an obstruction at the splenic flexure of the colon (Figure 3 ).[] Over time, the patient develops signs of hypovolemia (sunken eyes, sunken fontanel, dry skin and mucous membranes, and prolonged capillary refill time), which are due to vomiting[]

  • Congenital Heart Block

    Nine women had hypothyroidism and 78 had normal thyroid function.[] Specific features of shock include: Reduced spontaneous movements Mottled skin Prolonged capillary refill time Decreased pulses or Narrow pulse pressure Hypothermia and Widening[] Fetal genetics, in particular the HLA locus, have been implicated in susceptibility to CHB in recent studies. 9 10 In addition, hypothyroidism and maternal age have been suggested[]

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