Diferencia entre revisiones de «Dysequilibrium syndrome»
| Línea 22: | Línea 22: | ||
*Intracranial Bleed | *Intracranial Bleed | ||
*[[Hypertensive Emergency]] | *[[Hypertensive Emergency]] | ||
*[[Stroke]] | |||
*Supratheurapeutic Medication Effects | |||
*PRES | *PRES | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revisión del 01:38 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
- Stroke
- Supratheurapeutic Medication Effects
- PRES