ketoacidosis la gi

  • Journal List
  • Yale J Biol Med
  • v.56(3); May-Jun 1983
  • PMC2589676

Yale J Biol Med. 1983 May-Jun; 56(3): 175–178.

Abstract

The evaluation of gastrointestinal symptoms in patients with diabetic acidosis frequently challenges the physician's clinical acumen. Faced with a seriously ill patient, he must judge whether the abdominal pain, nausea, or vomiting are a consequence of the metabolic decompensation, and hence likely lớn resolve with correction of the ketoacidosis, or if these symptoms signal a serious underlying intra-abdominal process (e.g., cholecystitis, appendicitis, etc.) which may have precipitated the development of ketoacidosis. The pathogenesis of the reversible gastrointestinal symptoms which frequently accompany diabetic acidosis has not been rigorously defined and may be multifactorial, involving metabolic, humoral, and neural processes. Careful attention lớn the medical history and abdominal examination greatly facilitates distinguishing patients with intra-abdominal pathology from those with reversible symptoms secondary lớn ketoacidosis. Similarly, the judicious use of laboratory tests (electrocardiography, blood counts, urinalysis, serum enzyme profile, and abdominal roentgenograms) materially sida in differential diagnosis. Finally, clinical suspicion of an acute abdominal process should prompt early surgical consultation and, if required, surgical intervention as the acidosis is being brought under control.

Bạn đang xem: ketoacidosis la gi

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (527K), or click on a page image below lớn browse page by page. Links lớn PubMed are also available for Selected References.

Xem thêm: hôn nhân ấm áp tổng tài sủng vợ thành nghiện

Xem thêm: quán cơm tùy hưu

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  • Katz LA, Spiro HM. Gastrointestinal manifestations of diabetes. N Engl J Med. 1966 Dec 15;275(24):1350–1361. [PubMed] [Google Scholar]
  • Valerio D. Acute diabetic abdomen in childhood. Lancet. 1976 Jan 10;1(7950):66–68. [PubMed] [Google Scholar]
  • Beigelman PM. Severe diabetic ketoacidosis (diabetic "coma"). 482 episodes in 257 patients; experience of three years. Diabetes. 1971 Jul;20(7):490–500. [PubMed] [Google Scholar]
  • Campbell IW, Duncan LJ, Innes JA, MacCuish AC, Munro JF. Abdominal pain in diabetic metabolic decompensation. Clinical significance. JAMA. 1975 Jul 14;233(2):166–168. [PubMed] [Google Scholar]
  • Atchley DW, Loeb RF, Richards DW, Benedict EM, Driscoll ME. ON DIABETIC ACIDOSIS: A Detailed Study of Electrolyte Balances Following the Withdrawal and Reestablishment of Insulin Therapy. J Clin Invest. 1933 Mar;12(2):297–326. [PMC không lấy phí article] [PubMed] [Google Scholar]
  • MacGregor IL, Gueller R, Watts HD, Meyer JH. The effect of acute hyperglycemia on gastric emptying in man. Gastroenterology. 1976 Feb;70(2):190–196. [PubMed] [Google Scholar]
  • MUNDTH ED. Cholecystitis and diabetes mellitus. N Engl J Med. 1962 Sep 27;267:642–646. [PubMed] [Google Scholar]
  • Knight AH, Williams Doanh Nghiệp, Ellis G, Goldberg DM. Significance of hyperamylasaemia and abdominal pain in diabetic ketoacidosis. Br Med J. 1973 Jul 21;3(5872):128–131. [PMC không lấy phí article] [PubMed] [Google Scholar]
  • Vinicor F, Lehrner LM, Karn RC, Merritt AD. Hyperamylasemia in diabetic ketoacidosis: sources and significance. Ann Intern Med. 1979 Aug;91(2):200–204. [PubMed] [Google Scholar]
  • Knight AH, Williams Doanh Nghiệp, Spooner RJ, Goldberg DM. Serum enzyme changes in diabetic ketoacidosis. Diabetes. 1974 Feb;23(2):126–131. [PubMed] [Google Scholar]

Articles from The Yale Journal of Biology and Medicine are provided here courtesy of Yale Journal of Biology and Medicine