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Hypochloremic coma - Symptoms
Medical expert of the article
Last reviewed: 23.04.2024
In most patients, coma develops gradually, most often after a previous prolonged vomiting, diarrhea, and abundant diuresis (depending on the underlying disease). In prekomatoznom state of concern severe weakness, dizziness, severe thirst, dry mouth, palpitations, muscle twitching, often cramps in the calf muscles.
Coma is characterized by the following features:
- pointed features, sunken eyes, a sagging face;
- severe dryness of the skin, reduction of its turgor and elasticity;
- dryness of the tongue, mucous membrane of the mouth, dry cracked lips covered with brownish crusts;
- pupils wide;
- muscle twitching, often convulsions (with hypocalcemia);
- decreased tendon reflexes;
- pulse frequent, of small magnitude;
- blood pressure is significantly reduced;
- when examining the abdomen, you can see the peristalsis of the stomach (with stenosis of the pylorus), with palpation the noise of splashing and the low location of the border of the stomach are determined;
- In severe coma, especially with inadequately active and late-onset treatment, it is possible to develop arterial hypertension.
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