Details

Autor(en) / Beteiligte

• Kalantar-Zadeh, Kamyar
• Uppot, Raul N
• Lewandrowski, Kent B
• Ebeling, Sally H
• Cabot, Richard C
• McDonald, Emily K
• Rosenberg, Eric S
• Harris, Nancy Lee
• Shepard, Jo-Anne O
• Cort, Alice M
• Cort, Alice M.
• Shepard, Jo-Anne O.
• McDonald, Emily K.
• Ebeling, Sally H.
• Rosenberg, Eric S.
• Cabot, Richard C.

Titel

Case 23-2013: A 54-Year-Old Woman with Abdominal Pain, Vomiting, and Confusion

Ist Teil von

• The New England journal of medicine, 2013-07, Vol.369 (4), p.374-382

Ort / Verlag

Waltham, MA: Massachusetts Medical Society

Erscheinungsjahr

2013

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• A 54-year-old woman with type 2 diabetes mellitus was admitted to the hospital because of abdominal pain, vomiting, and confusion. Initial laboratory evaluation revealed a serum lactate level of 20.3 mmol per liter and a venous blood pH of 6.62. A diagnosis was made. Presentation of Case Dr. Sara R. Schoenfeld (Medicine): A 54-year-old woman was admitted to this hospital because of abdominal pain, vomiting, and confusion. The patient was in her usual health until approximately 3 days before admission, when she reportedly began to feel unwell, with weakness, chills, and skin that was abnormally warm to the touch. She self-administered aspirin, without improvement. During the next 2 days, her oral intake decreased. Approximately 22 hours before presentation, vomiting occurred. Nine hours before presentation, she began to travel home to Italy from the eastern United States. During the next 2 hours, increasing abdominal pain . . .