Diferencia entre revisiones de «Dysequilibrium syndrome»
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==Differential Diagonsis== | ==Differential Diagonsis== | ||
*[[ | *[[Hypoglycemia]] | ||
*[[Hyponatremia]] | |||
*[[Hypocalcemia]] | |||
*[[Uremia]] | |||
*Intracranial Bleed | |||
*[[Hypertensive Emergency]] | |||
*PRES | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revisión del 01:34 14 abr 2017
Background
- Characterized by neurological symptoms that is thought to be secondary to cerebral edema affecting dialysis patients
- Tends to occur in patients who are initially started on dialysis, particularly with high initial BUN
- Symptoms are thought to be secondary to the development of cerebral edema possibly due to urea removal during dialysis and from a decreased in pH in the cerebral intracelluar environment
Clinical Features
- Signs and symptoms develop during or after dialysis or during renal replacement therapy, usually self limited but can occasionally progress
- Headache
- Nausea
- Visual disturbances
- Asterixis
- Altered mental staus
- Seizures
- Coma
- Muscle Cramps
Differential Diagonsis
- Hypoglycemia
- Hyponatremia
- Hypocalcemia
- Uremia
- Intracranial Bleed
- Hypertensive Emergency
- PRES