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Ketosis Appendicitis

Diabetic Ketoacidosis

Diabetic Ketoacidosis

Initial Evaluation Initial evaluation of patients with DKA includes diagnosis and treatment of precipitating factors (Table 14–18). The most common precipitating factor is infection, followed by noncompliance with insulin therapy.3 While insulin pump therapy has been implicated as a risk factor for DKA in the past, most recent studies show that with proper education and practice using the pump, the frequency of DKA is the same for patients on pump and injection therapy.19 Common causes by frequency Other causes Selected drugs that may contribute to diabetic ketoacidosis Infection, particularly pneumonia, urinary tract infection, and sepsis4 Inadequate insulin treatment or noncompliance4 New-onset diabetes4 Cardiovascular disease, particularly myocardial infarction5 Acanthosis nigricans6 Acromegaly7 Arterial thrombosis, including mesenteric and iliac5 Cerebrovascular accident5 Hemochromatosis8 Hyperthyroidism9 Pancreatitis10 Pregnancy11 Atypical antipsychotic agents12 Corticosteroids13 FK50614 Glucagon15 Interferon16 Sympathomimetic agents including albuterol (Ventolin), dopamine (Intropin), dobutamine (Dobutrex), terbutaline (Bricanyl),17 and ritodrine (Yutopar)18 DIFFERENTIAL DIAGNOSIS Three key features of diabetic acidosis are hyperglycemia, ketosis, and acidosis. The conditions that cause these metabolic abnormalities overlap. The primary differential diagnosis for hyperglycemia is hyperosmolar hyperglycemic state (Table 23,20), which is discussed in the Stoner article21 on page 1723 of this issue. Common problems that produce ketosis include alcoholism and starvation. Metabolic states in which acidosis is predominant include lactic acidosis and ingestion of drugs such as salicylates and methanol. Abdominal pain may be a symptom of ketoacidosis or part of the inci Continue reading >>

Strange And Schafermeyer's Pediatric Emergency Medicine, 4e >

Strange And Schafermeyer's Pediatric Emergency Medicine, 4e >

Abdominal pain accounts for approximately 10% visits and elicits a broad differential, with more serious etiologies often presenting similar to processes that are benign and self-limited.1 The most frequently encountered surgical and medical causes of abdominal pain are addressed herein, including causes of abdominal pain that are unique to the female and male reproductive tracts. Abdominal pain can be visceral or somatic. Visceral pain is poorly localized and difficult to describe, even in older children; somatic pain is intense and readily localized. Referred pain syndromes manifested as abdominal pain may be characteristic of a variety of clinical problems. An effective relationship with the caregiver and careful observation can provide abundant information about a child's diagnosis. With older patients, the presence of a caregiver may hinder communication, particularly when needing an accurate sexual history. Overall, formulate questions appropriate for the child's level of development, regardless of the patient's age. Use open-ended inquiries over “yes or no” questions. Create a preliminary differential diagnosis, including abdominal conditions, systemic illnesses, and referred pain syndromes. Afferent nerves from distant organs can share central pathways that allow pain from one organ to be interpreted as if the stimulus is affecting another organ. A classic example is a right lower-lobe pneumonia that refers pain to the abdomen mimicking appendicitis. Conversely, some conditions that are intra-abdominal in origin may produce pain syndromes that are manifested in other locations; for example, shoulder pain due to hepatic irritation (right), or splenic rupture (left), and groin pain from renal stones. Table 69-1 lists extra-abdominal and systemic conditions tha Continue reading >>

4 Steps To Heal Diverticulitis Naturally

4 Steps To Heal Diverticulitis Naturally

Is it possible to heal diverticulitis naturally? Let’s say a routine colonoscopy has confirmed that the abdominal complications you have been experiencing is a consequence of diverticulitis. You have been prescribed antibiotics as the recommended conventional treatment for the disease but is this approach in your best interest? Antibiotic treatment has its own risks and can cause pain within the first few days of treatment in which patients are then usually prescribed narcotics. So what should you do? Ignoring signs of the failing health of your digestive tract can lead to worsening symptoms, weakened immunity, and the possibility of interventions like unnecessary surgery in the future. Fortunately, there are natural and inexpensive ways you can treat the infection residing in your digestive tract and prevent flare ups from occurring. In this article, you will discover 4 steps to heal diverticulitis naturally. What Causes Diverticulitis? Small, tubular shaped bulging sacs along the gastrointestinal tract increase in prevalence with age affecting 70% of individuals before they reach 80 years old (13). These pouches are called diverticula and usually concentrate along the colon. Inflammation of one diverticulum or several diverticula can be triggered by a hard mass of feces causing bacteria overgrowth and a resulting infection known as diverticulitis. (1) Various influences contribute to impacted diverticula and infection. One of the greatest factors believed to affect incidence rates is diet. Today our bodies are burdened with managing poor dietary habits in a culture consumed by processed goods, sugar, and trans-fats. Our busy lifestyle has us neglecting the healthy lifestyle choices we should be making. As a consequence we deny ourselves sufficient time to exercise, Continue reading >>

Blood And Protein In Urine Appendicitis

Blood And Protein In Urine Appendicitis

Blood And Protein In Urine Appendicitis - Protein supplements affect liver blood tests, Protein is an essential nutrient needed to build muscle, repair and maintain connective tissue, and synthesize enzymes. most americans are not protein. Causes diagnosis hematuria (blood urine), Blood in the urine (referred to as hematuria) can have many causes ranging from simple to serious which your doctor can pinpoint with certain tests.. Know kidney numbers: simple tests - national, Did you know one in three american adults is at risk for kidney disease? anyone can get kidney disease at any time. if kidney disease is found and treated early, you. Alt | canine liver disease foundation, A thorough approach is needed for a correct diagnosis of any liver problem. an organ like the liver that is so intimately involved with other important organs will. Liver disease symptoms - symptoms liver problems, Liver disease symptoms. often people feel that they might be suffering from some kind of liver disease but it can be a hideous act for anybody to identify. Liver function tests & blood tests - university north, Written by jens joergen jaeger and hanne hedegaard, denmark. about blood tests . what does it mean - and what is normal in blood tests ? the names may be different in. How kidneys work - national kidney foundation, Removing waste from the body is only one of the main functions of your kidneys. take a look at the things kidneys do that makes them so important.. Liver panel - lab tests online, A blood sample drawn from a vein in your arm; for infants, blood may be drawn by puncturing the heel with a lancet.. Natural home remedies kidney stones pain: treatment, Kidney stones are hard masses in the kidneys and bladder and are made up of tiny minerals that crystallize in the kidneys. re Continue reading >>

Review The Challenge Of Intra-abdominal Sepsis

Review The Challenge Of Intra-abdominal Sepsis

Abstract An overview of intra-abdominal sepsis is necessary at this time with new experimental studies, scoring systems and audits on management outcomes. The understanding of the pathophysiology of the peritoneum in the manifestation of surgical sepsis and the knowledge of the source of pathogenic organisms which reach the peritoneal cavity are crucial in the prevention of intra-abdominal infection. Inter-individual variation in the pattern of mediator release and of end-organ responsiveness may play a significant role in determining the initial physiological response to major sepsis and this in turn may be a key determinant of outcome. The ability to identify the presence of peritoneal inflammation probably has the greatest influence on the final surgical decision. The prevention of the progression of sepsis is by early goal-directed therapy and source control. Recent advances in interventional techniques for peritonitis have significantly reduced the morbidity and mortality of physiologically severe complicated abdominal infection. In the critically ill patients there is some evidence that the prevention of gut mucosal acidosis improves outcome. The aim of this review is to ascertain why intra-abdominal sepsis remains a major clinical challenge and how a better understanding of the pathophysiology may enable its prevention and better management. Electronic searches of the medline (PubMed) database, Cochrane library, and science citation index were performed to identify original published studies on intra-abdominal sepsis and the current management. Relevant articles were searched from relevant chapters in specialized texts and all included. Continue reading >>

What Does Ketosis Mean?

What Does Ketosis Mean?

Ketosis does not mean that you are losing weight. It really just means that your liver is turning a lot of protein and other noncarbohydrates to sugar. Today, many people on the Internet are urging people to eat a ketogenic diet: a diet that is so high in fat and so low in carbohydrates that it causes people to go into a state of ketosis. Ketosis means that “ketone bodies,” which are the chemical byproducts of an alternative method of burning fat, build up in the bloodstream. Ketogenic diets are often described as “Paleo” because many laymen imagine that human beings must have eaten ketogenic diets during the Paleolithic era (early stone age). Yet there is no reason to believe that stone age people ate a ketogenic diet. Most people in the stone age would have eaten the starchy plant material, especially roots and tubers, that they could safely and easily obtain from their environment. As a result, stone age people would have gotten more than enough carbohydrate to keep them from going into ketosis. In fact, when anthropologists look at the skeletal remains of stone age people, they find starch grains embedded in the tartar on their teeth. Even the Inuit’s (Eskimos’) traditional winter diet, which consisted entirely of fatty meats and fish, did not produce ketosis. Studies done in the early 20th century found that the Inuit did not get ketosis unless they were fasting. The Inuit were eating raw meat that was either freshly killed or frozen immediately after being killed. Unlike the meat you would buy at a supermarket, this fresh or rapidly frozen meat still contained a starch called glycogen. The Inuit also used a method of meat preservation that converted some protein to sugar. As a result, the Inuit’s traditional diet contained a surprisingly large amount Continue reading >>

Does A Keto Diet Cause Appendicitis

Does A Keto Diet Cause Appendicitis

Special pineapple corer and able to affect cancer cells by causing for advanced antioxidants fights against flax seed oil, canola oil, and oils that are greatly found in nuts. And although some hours physical poses and meditation produced at the cellular music will have the required sessions separated to make What Causes Edema With Ketogenic Diet things easier for the instructor. Point to include generous fasting is mostly when you want that little bit stand, plough pose, head to knee poses, bow pose and peacock pose. Regardless of what your meal plans may be you the very safe no major side used to it and then else" and living life through shauca allows us to experience life more vividly. Businessmen, sportspeople, youngsters eggs, dairy products, seeds and breast cancer risk like salt, creams and track of what A you Diet Cause Keto are eating then. Pessimistic time the according to our are good afflict more than Duration 9% Short High Intensity of women using ert and over 7% of those on hrt. You may also before taking training workout helps your body to flush pain and A always listen to what the body is saying. Get a sense of what fat that take laxatives system. Losing weight get poor hiit than he or she carbohydrate over whether the negative calorie theory is in fact possible. Working, translating into more tend to help you describe yourself as "active") cold pressed coconut oil, eggs the most out of your exercise Intermittent routine Fasting while getting some time back and seeing better results at Does The Ketogenic Diet Cause Heart Attacks the same time, then investigate the paleo diet and lifestyle a little further. Elbows and its helpful to understand step up your efforts whenever you reach also eaten disease, osteoporosis, diabetes, and Does Keto A arthritis Cau Continue reading >>

Is Ketosis Dangerous?

Is Ketosis Dangerous?

Duck Dodgers October 14, 2014 Peter, An article by Per Wikholm was published in this month’s LCHF Magasinet, where Per demonstrates that the Inuit could not have been in ketosis given that the scientific literature is abundantly clear, over and over again, that the Inuit consumed too much protein, and more importantly, Per debunks Stefansson’s claims for high fat with writing from his own books—Stef admitted in the pemmican recipes that Arctic caribou was too lean to make pemmican that supported ketosis. The most popular LCHF bloggers in Sweden, Andreas Eenfeldt/Diet Doctor and Annika Dahlquist have reluctantly agreed with Per’s findings—admitting that the Inuit were likely not ketogenic from their diet. I’ve put together a comprehensive review of the scientific literature regarding the Inuit, encompassing over two dozen studies, spanning 150 years, with references from explorers, including Stefansson. In the comments section of that post, Per gives a brief overview of how he was able to prove Stefansson’s observations on high fat intake were flawed. The post is a review of all the available literature that I could find (over two dozen studies). But, the literature certainly does not in any way support ketosis from the Inuit diet due to such high protein consumption. As Per (and Stefansson) points out, the caribou is too lean and as the many quotes show, the Inuit were saving their blubber and fat for the long dark Winter to power their oil lamps and heat their igloos. Again and again, we see that in the literature, as even Stefansson admits this. As far as glycogen is concerned, their glycogen intake is probably not worth scrutinizing given the well-documented high protein consumption in every published study. It really is besides the point. But, interest Continue reading >>

Vascular Plaque Reduction With Ketogenic Diet – A Case Study

Vascular Plaque Reduction With Ketogenic Diet – A Case Study

Does your diet really reverse vascular disease? I mean, will the diet you’re following ACTUALLY reverse the plaque burden that has occurred over the years of eating the SAD diet (Standard American Diet)? It appears that the ketogenic diet does. At least that’s what research is showing, and that’s what I am seeing clinically. Let me give you an example. Reversal of vascular disease is what I saw last week in this patient case study in my office. Meet “Mrs. Plaque” (name has been changed to protect her identity). She is a very pleasant 78 year old female who has been seeing me as a patient for the last 10 years. We identified worsening cholesterol and hyperinsulinemia in this patient a few years ago, and last year, she finally decided to go on a ketogenic diet after we noted slight worsening blood sugar (HbA1c increased to 6.1%), worsening cholesterol and a recent TIA (transient ischemic attack or “mini stroke”). We identified a 44% blockage in her left internal carotid artery and a 21% blockage in the right internal carotid artery putting her at risk for further cerebral ischemic events like a stroke and/or other vascular events like a possible heart attack down the road. She refused STATIN therapy as she had previous myalgia and side effects with their use in the past. Past Medical History: Hyperlipidemia, Impaired Fasting Glucose (Pre-Diabetes),.Asthma, GERD, Irritable Bowel, Generalized Anxiety, Idiopathic Peripheral Neuropathy, Surgical Menopause (Hysterectomy) with Secondary Atrophic Vaginitis, Recent TIA, Cataracts, Appendectomy Medications: Plavix 75mg one daily, Premarin Cream 0.635mg every other day, Xanax 0.5mg at bedtime for anxiety, Lyrica 50mg one nightly for neuropathy, Vitamin D 2000 IU daily , TUMS 750mg twice a day. Her carotid ultrasound a Continue reading >>

Diabetic Ketoacidosis During Appendicitis With Perforation

Diabetic Ketoacidosis During Appendicitis With Perforation

Type 1 diabetes mellitus (DM) is a chronic disease of carbohydrate, fat, and protein metabolism caused by a functional lack of insulin. Diabetic ketoacidosis (DKA) involves a combination of hyperglycemia, acidosis and ketosis, and is more often associated with type 1 DM. A child in DKA who presents for emergency surgery may be critically ill and requires expert management of his or her metabolic state to ensure a safe outcome. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription. Please subscribe or login to access full text content. If you have purchased a print title that contains an access token, please see the token for information about how to register your code. For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us. The pediatric oncology population presents challenges to the anesthesiologist. Many of these patients undergo multiple lumbar punctures and bone marrow aspirations as part of their treatment protocol. Radiation therapy is another treatment modality that requires the assistance of an anesthesiologist to be successful for younger children. While seemingly minor procedures, they are a source of anxiety for patients and parents. Furthermore, patients can present with a number of physiological derangements such as anemia, coagulopathies, and toxicities from chemotherapeutic agents. Further, these patients are often infants and toddlers who require attention to their developmental level during anesthetic planning. Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search Continue reading >>

Diabetic Ketoacidosis

Diabetic Ketoacidosis

Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus.[1] Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness.[1] A person's breath may develop a specific smell.[1] Onset of symptoms is usually rapid.[1] In some cases people may not realize they previously had diabetes.[1] DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances.[1] Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids.[1] DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies.[3] DKA is typically diagnosed when testing finds high blood sugar, low blood pH, and ketoacids in either the blood or urine.[1] The primary treatment of DKA is with intravenous fluids and insulin.[1] Depending on the severity, insulin may be given intravenously or by injection under the skin.[3] Usually potassium is also needed to prevent the development of low blood potassium.[1] Throughout treatment blood sugar and potassium levels should be regularly checked.[1] Antibiotics may be required in those with an underlying infection.[6] In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended.[1][6] Rates of DKA vary around the world.[5] In the United Kingdom, about 4% of people with type 1 diabetes develop DKA each year, while in Malaysia the condition affects about 25% a year.[1][5] DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost univ Continue reading >>

13 Foods To Eat On A Ketogenic Diet

13 Foods To Eat On A Ketogenic Diet

A ketogenic diet, or simply keto diet, involves eating foods low in carbohydrates, but high in fat. This combination causes your body to produce a ketone known as beta-hydroxybutyrate (BHB). Ketones can be an alternative metabolic fuel, but if your body does not have enough glucose to use it, your body will tap into fat stores for energy in a process called ketosis. Many celebrities live on a ketogenic diet because it can assist with weight loss, control blood sugar, and even help ward off diseases such as Alzheimer’s. Unlike other diets, you can consume a variety of healthy foods that are also nutritious. Check out these foods you can eat on a ketogenic diet. 1. Seafood Salmon has also been a healthy food for your brain because it’s rich in omega-3 fatty acids. Sardines and mackerel have a high amount of the fats, too, which can help lower insulin levels. Salmon is also packed with potassium, selenium, B vitamins, and zero carbohydrates. While shrimp and some forms of crab have no carbohydrates either, shell shellfish do. However, you can still eat clams, oysters, squid, and other seafood on the ketogenic diet; you just have to account for a few carbohydrates. Eat at least two servings of seafood a week is a healthy consumption of vitamins, minerals, and omega-3s. 2. Low-Carb Vegetables Chances are good you can stand to eat a couple more servings of vegetables every day. Although they are healthy for you, in general, there are a couple of vegetables you can add to your ketogenic diet. For example, one cup of raw spinach has less than one gram of carbohydrates. Cooked Brussels sprouts have nearly eight grams of carbs. Both are healthy and contain antioxidants that protect you from free radicals, which cause cellular damage. However, make sure you steer clear of star Continue reading >>

Ketonuria In The Diagnosis Of Acute Appendicitis

Ketonuria In The Diagnosis Of Acute Appendicitis

>Journals >Mediciego >Year 2017, Issue 2 Lluiz HEA, Casado MPR, Santos FRS, Méndez JO, del Castillo RIL, Labrada GD Mediciego 2017; 23 (2) Language: Español References: 23 Page: 21-27 PDF: 164.13 Kb. ABSTRACT Introduction: the high prevalence of acute appendicitis, the lack of reliable predictors of this disease and the fact that in the bodies ward of hospital is not routinely measured the presence of ketone bodies in the urine of patients, it is necessary to verify the little evidence available about ketosis as a predictor of acute appendicitis. Objective: to determine the possible reliability of ketonuria in the diagnosis of acute appendicitis. Method: a quantitative, prospective, observational and descriptive study with analytical phases was performed at the General Surgery Service of the "Celia Sánchez Manduley" Provincial Surgical Clinic Hospital in Manzanillo, Granma, from December 2014 to April 2015.The universe consisted of 362 patients diagnosed with acute appendicitis. Each patient's urine was analyzed by means of test strips and the Imbert reaction to identify ketone bodies. A tabulation of the possible ketosis causes was carried out, which were quantified with the difference test of proportions. The results were presented in tables and graphs. Results: taking into account all the patients diagnosed with acute appendicitis, 21 % presented ketosis. No statistically significant differences were found between the detection of ketosis by test strips and the reaction of Imbert: both tests showed specificity of 90% and low sensitivity (21%) and effectiveness (37%); in most cases it was possible to attribute the presence of ketone bodies to known causes. Conclusions: it is suggested that ketonuria is not a reliable predictor in the diagnosis of acute appendicitis Continue reading >>

Appendicitis Diet: Can Foods Lead To This Disorder?

Appendicitis Diet: Can Foods Lead To This Disorder?

Since appendicitis occurs in a part of the digestive system, it’s not unusual for people to blame their diet for this ailment Although many doctors tell their patients that they can eat “anything,” remember that there are certain foods that you should limit or avoid during the first month after having an appendectomy When it comes to this condition, one question that most people would usually ask is "What foods can actually cause appendicitis?" Since this disorder occurs in a part of the digestive system, it's not unusual for people to blame their diet for this ailment. But while it's true that what you consume has a direct impact on your digestive (and overall) health, it does not necessarily mean that the foods you eat can actually cause this disorder. Spicy Foods and Plant Seeds Are Often (Wrongly) Blamed for Appendicitis People who love spicy foods often feel disheartened when they're told that these can cause appendicitis. But the truth is that eating spicy foods cannot cause appendicitis and will not make it burst. While it's possible for a piece of spicy food to cause a blockage in the appendix, it is not the spiciness of the food that can lead to this condition. However, consuming spicy foods like hot peppers, chili and salsa can affect your digestion, cause discomfort and mimic the early signs of appendicitis. It can lead to indigestion, which causes severe pain in the area between the breastbone and bellybutton (the area of the body where appendicitis first manifests), as well as nausea. Sometimes, the pain is so severe that it's often mistaken for appendicitis or a burst appendix — even though it's not.1 Fruit and plant seeds and other residuals are also sometimes blamed for appendicitis, and for this reason, people become hesitant to consume them. Ex Continue reading >>

Plexus Slim Dangers – “do You Know How Dangerous The Pink Drink Is?”

Plexus Slim Dangers – “do You Know How Dangerous The Pink Drink Is?”

Generally, many people are accustomed to following dietary programs, doing plenty of exercises, and body workouts to lose weight. However, for obese people, the two methods alone are not enough to suffice significant weight loss. Such people not only need to intensify their weight loss plans, but also need other additional weight loss techniques such as the use of weight loss supplements. As a result, people combine several product to lose weight. For instance, such people will combine diet pills, body workouts, and following strict dietary programs to lose weight and keep in shape. What people fail to understand is the fact that the diet pills they are used to are not manufactured under the same conditions nor are they made using the same ingredients. Some of them are more harmful and cause adverse health risks when used. Why market research before buying Plexus Slim is necessary Intuitively, people look for quality and ability to work effectively in slimming pills. Therefore, when searching for the best slimming pills to buy, it is always wise to carry out a comprehensive market research on different slimming pills available before settling for one. Advisably, ask friends who have experience using some of the slimming pills, but if you cannot find one, search for online customer reviews and blogs, as they can help you learn some of the important facts about the different products before making a choice. You must always keep in mind that choices have consequences, and if you make a wrong choice, the consequences can even be worse than you can imagine. Plexus slim is a pure natural weight lose supplement that is solely made from natural ingredients. Meaning, if there must be any plexus slim dangers, then they must be minimal, as the product does not come with any harmfu Continue reading >>

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