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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.[ncbi.nlm.nih.gov] On exam, the child was hypothermic with pink mottled skin, poor responsiveness, prolonged capillary refill, abdominal distension with hypoactive bowel sounds, and a dysconjugate[ncbi.nlm.nih.gov] Further laboratory tests led to the diagnosis of hypothyroidism, and treatment was initiated.[ncbi.nlm.nih.gov]

  • Hypovolemia

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

  • 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).[ncbi.nlm.nih.gov] The newborn was cyanotic, in respiratory distress, with tachycardia, low blood pressure and prolonged capillary refilling time. Limb pulse oximeter was around 85%.[ncbi.nlm.nih.gov]

  • Compartment Syndrome

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

  • Hypernatremia

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

  • Hypovolemic Shock

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

  • 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[oxfordmedicaleducation.com] refill time – prolongation ( 2 seconds) suggests hypovolaemia Assess peripheral pulse for rate and rhythm (tachycardia and a thready pulse suggests volume depletion) Assess[geekymedics.com] […] reduced conscious level Breathing Kussmaul’s breathing: hyperventilation to compensate for metabolic acidosis manifesting as ‘air hunger’ Circulation Cold, pale peripheries Prolonged[oxfordmedicaleducation.com]

  • Primary Erythromelalgia

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

  • Intestinal Atresia

    After excluding hypothyroidism, a barium enema was performed which revealed an obstruction at the splenic flexure of the colon (Figure 3 ).[bmcgastroenterol.biomedcentral.com] 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[thehealthscience.com]

  • Congenital Heart Block

    Nine women had hypothyroidism and 78 had normal thyroid function.[ncbi.nlm.nih.gov] Specific features of shock include: Reduced spontaneous movements Mottled skin Prolonged capillary refill time Decreased pulses or Narrow pulse pressure Hypothermia and Widening[rcemlearning.co.uk] 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[rmdopen.bmj.com]

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