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20 Possible Causes for Lethargy, Patient Appears Acutely Ill, Tactile Hallucination

  • Phencyclidine Intoxication

    Cocaine Mechanism block biogenic amine (DA, NE, 5HT) reuptake Intoxication presentation mental status changes euphoria, psychomotor agitation, grandiosity, hallucinations[medbullets.com] Changes in sensorium consisted of coma, lethargy/stupor, and acute brain syndrome; however, 46% of patients were alert and oriented.[ncbi.nlm.nih.gov] Minor patterns included lethargy or stupor (38 cases; 3.8%), and combinations of bizarre behavior, violence, agitation, and euphoria in patients who were alert and oriented[ncbi.nlm.nih.gov]

  • Acute Alcohol Intoxication

    […] disturbances 0 None 1 Mild itching (e.g., pins and needles, burning, numbness) 7 Continuous hallucinations Auditory disturbances 0 Not present 1 Mild harshness or ability[emsreference.com] […] decrease in coordination 100 to 150 mg/dL: Unsteady gait, nystagmus, slurred speech, loss of behavioral inhibitions, and memory impairment 150 to 300 mg/dL: Delirium and lethargy[merckmanuals.com] […] talking, showing off) Ataxia (uncoordinated gait- walking ) Poor judgment Loss of memory Slurred speech Worsening ataxia Vomiting Confusion and disorientation Progressive lethargy[emedicinehealth.com]

  • Benzodiazepine Overdose

    Cocaine Mechanism block biogenic amine (DA, NE, 5HT) reuptake Intoxication presentation mental status changes euphoria, psychomotor agitation, grandiosity, hallucinations[step2.medbullets.com] Lethargy, slurred speech, ataxia, coma, and respiratory arrest may occur.[mhmedical.com] The most prevalent symptoms were ataxia (87%), lethargy (57%), coma (Glasgow coma score 15, 35%; Reed coma score 0, 22%), and respiratory depression (9%).[doi.org]

  • Overdose

    (typically visual or tactile, less commonly auditory, olfactory, or vestibular), restlessness, distractibility, tremor {which is sometimes gross), sweating. tachycardia,[who.int] Physical examination revealed bilateral pupils dilatation, lethargy, slurred speech, and ataxia.[ncbi.nlm.nih.gov] Clinical features: CNS: Ataxia, lethargy, slurred speech, drowsiness, vertigo and nystagmus followed by coma, hypotonia, hypothermia and respiratory arrest.[litfl.com]

  • Alcohol Withdrawal Delirium

    hallucinations Uncontrollable tremors Seizures DTs can be fatal without treatment, due to the increased risk of developing respiratory arrest, aspiration pneumonitis, or[waypointrecoverycenter.com] Hyperactive agitation, hypervigilance, irritability, lack of concentration, and perseveration Hypoactive diminished alertness, absence of or slowed speech, hypokinesia, and lethargy[lifeinthefastlane.com] In another study, 17 1 patient treated with pentobarbital developed lethargy progressing to coma.[jamanetwork.com]

  • Alcohol Withdrawal Seizures

    hallucinations Uncontrollable tremors Seizures DTs can be fatal without treatment, due to the increased risk of developing respiratory arrest, aspiration pneumonitis, or[waypointrecoverycenter.com] If needed, titrate medications as ordered and expect to withhold sedatives for lethargy, abnormal vital signs, or neurologic abnormalities.[americannursetoday.com] Its signs and symptoms include: extreme confusion extreme agitation a fever seizures tactile hallucinations, such as having a sense of itching, burning, or numbness that isn[healthline.com]

  • Cardiac Glycoside Plant Poisoning

    Visual and tactile hallucinations and psychoses are common.[accessmedicine.mhmedical.com] […] and include nausea, vomiting, and abdominal pain Neurologic symptoms - Often are nonspecific and include weakness and altered mental status (eg, disorientation, confusion, lethargy[emedicine.medscape.com] Additional symptoms include lethargy, circumoral flush, dialated pupils, drooling, sweating, shaking, and ashy coloring.[sites.google.com]

  • Hypertensive Encephalopathy

    While there are no reports of auditory hallucinations, there have been single case reports of tactile hallucinations and delusional infestation in PRES patients [8-9] .[cureus.com] A 14-year-old female had repeated vomiting, headache, abdominal pain, visual field deficit and lethargy at the onset of hypertensive encephalopathy.[ncbi.nlm.nih.gov] […] usually bilateral and pulsating, caused by persistent blood pressure elevation to 180/120 mm Hg or above and accompanied by symptoms of encephalopathy such as confusion, lethargy[ichd-3.org]

  • Lyme Disease

    However, with all three antibiotic agents nearly half of the patients had minor late symptoms such as headache, musculoskeletal pain, and lethargy.[doi.org] Soon afterward, the pathogens move into the bloodstream, and the early signs of Lyme disease will usually become evident within four weeks of infection: fever, lethargy, diminished[www2.vet.cornell.edu]

  • Cocaine Abuse

    hallucinations ("coke bugs") Sexual dysfunction in both males and females Reproductive damage and infertility Sudden death - even one use can cause overdose or death Addiction[cesar.umd.edu] […] a person is withdrawing from cocaine: Increased irritability Depression Restlessness Intense cravings for more cocaine Excessive anxiety Increased appetite Vivid dreams Lethargy[bowlinggreenbrandywine.com] Prolonged binges can result in a washed-out syndrome: lethargy and deep sleep for several hours to days with spontaneous recovery.[patient.info]

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