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73 Possible Causes for Pallor, Persistent Lactic Acidosis

  • Cardiomyopathy

    acidosis, severe lactic acidosis, expansion and hypertrophic cardiomyopathy.[ncbi.nlm.nih.gov] Affected individuals may also experience excessive sweating, fatigue, wheezing, and paleness of the skin (pallor).[rarediseases.org] Met452Val) in a female infant who presented with poor sucking at birth, poor activity, hyporeflexia, hypertonia, persistent pulmonary hypertension of newborn (PPHN), metabolic[ncbi.nlm.nih.gov]

  • Sepsis

    However, in patients with persistently elevated lactate without evidence of inadequate oxygen delivery, type B lactic acidosis should be considered.[ncbi.nlm.nih.gov] […] flaring of the nostrils, grunting noises, rapid breathing, and short periods without breathing Irregular or abnormal (fast or very slow) heart rate Lethargy Pale appearance (pallor[medlineplus.gov] 140 beats per minute or more Rapid heart rate: 130–139 beats per minute Skin Any Mottled or ashen appearance Cyanosis of skin, lips or tongue Non-blanching rash of skin Pallor[pathways.nice.org.uk]

  • Gastric Adenocarcinoma

    He had persistently elevated serum lactate attributed to malignancy-associated type B lactic acidosis as a diagnosis of exclusion.[ncbi.nlm.nih.gov] Signs and symptoms of gastric cancer include the following: Indigestion Nausea or vomiting Dysphagia Postprandial fullness Loss of appetite Melena or pallor from anemia Hematemesis[emedicine.medscape.com] We report the second case of gastric adenocarcinoma associated with type B lactic acidosis.[ncbi.nlm.nih.gov]

  • Septicemia

    Lactic acidosis (with no other possible etiologies of lactatemia) would have indicated sepsis.[icd10monitor.com] Hypoperfusion abnormalities may include lactic acidosis, oliguria, or an acute alteration in mental status.[doi.org] If it persisted and required vasopressors to prop up the blood pressure, it would have signified septic shock.[icd10monitor.com]

  • Cardiogenic Shock

    lactic acidosis, low cardiac output, high doses of catecholamines, kidney and/or liver failure) and of cardiac arrest without “no flow” in patients with advanced chronic[annalsofintensivecare.springeropen.com] […] creating a vicious cycle: Signs Symptoms: Shortness of breath Dyspnea on exertion Diaphoresis Cough with pink sputum Chest pain Air hunger Hypoxia Tachycardia JVD Rales Skin pallor[rebelem.com] Signs and symptoms of hypotension are present: Weak or absent peripheral pulses; mottled extremities from low flow states; diaphoresis; and pallor.[cathlabdigest.com]

  • Hypovolemic Shock

    lactic acidosis, low cardiac output, high doses of catecholamines, kidney and/or liver failure) and of cardiac arrest without “no flow” in patients with advanced chronic[annalsofintensivecare.springeropen.com] […] stages Stage 1 Up to 15% blood volume loss (750 mL) Compensated by constriction of vascular bed Blood pressure maintained Normal respiratory rate (12-20 breaths per minute) Pallor[boneandspine.com] Excessive perspiration Vomiting Symptoms Symptoms may include: Anxiety or agitation Cool, clammy skin Confusion Decreased or no urine output General weakness Pale skin color (pallor[mountsinai.org]

  • Neonatal Sepsis

    , and hemodynamic instability (tachycardia bursts, unstable blood pressure with frequent drops below 60/40 mm Hg), unsatisfactory control of acidosis and lactic acid, which[karger.com] […] mottling, several studies included pallor and/or mottling in their research.[pediatrics.aappublications.org] Irritability Tremor , jitteriness or Seizure Hyporeflexia or hypotonia High pitched cry Swelling of Fontanel Cardiovascular Hypotension Metabolic Acidosis Tachycardia Skin Pallor[fpnotebook.com]

  • Hereditary Fructose Intolerance

    Clinical description HFI usually presents in infancy at the time of weaning (when fructose is added to the diet), manifesting with hypoglycemia, lactic acidosis, ketosis with[orpha.net] The most frequent clinical findings were hepatomegaly (18X), pallor (14X), haemorrhages (13X).[ncbi.nlm.nih.gov] These sweeteners are not common in formulas used today. [5] Symptoms such as vomiting, nausea, restlessness, pallor, sweating, trembling and lethargy can also first present[en.wikipedia.org]

  • Precursor-Cell Lymphoblastic Leukemia

    He was admitted with a possible diagnosis of acute pericarditis and lactic acidosis. Sodium bicarbonate replacement did not improve the lactic acidosis.[ncbi.nlm.nih.gov] Physical examination reveals pallor and multiple ecchymoses on his arms, legs, and trunk.[doi.org] Systemic features such as pallor (54%) and fatigue (46%) were also common.[adc.bmj.com]

  • Ventricular Fibrillation

    acidosis.[calsprogram.org] Special Drug Needs in Ventricular Fibrillation/Ventricular Tachycardia Especially in persistent/recurrent VF/VT, the resuscitation team must consider potential treatable causes[calsprogram.org] […] protracted cardiac arrest For patients in protracted cardiac arrest who experience return of spontaneous circulation Sodium bicarbonate is not indicated for patients with hypoxic lactic[calsprogram.org]

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