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Alcoholic Ketoacidosis

Alcoholic Ketoacidosis Damian Baalmann, 2nd year EM resident A 45-year-old male presents to your emergency department with abdominal pain. He is conscious, lucid and as the nurses are hooking up the monitors, he explains to you that he began experiencing abdominal pain, nausea, vomiting about 2 days ago. Exam reveals a poorly groomed male with dry mucous membranes, diffusely tender abdomen with voluntary guarding. He is tachycardic, tachypneic but normotensive. A quick review of the chart reveals a prolonged history of alcohol abuse and after some questioning, the patient admits to a recent binge. Pertinent labs reveal slightly elevated anion-gap metabolic acidosis, normal glucose, ethanol level of 0, normal lipase and no ketones in the urine. What are your next steps in management? Alcoholic Ketoacidosis (AKA): What is it? Ketones are a form of energy made by the liver by free fatty acids released by adipose tissues. Normally, ketones are in small quantity (<0.1 mmol/L), but sometimes the body is forced to increase its production of these ketones. Ketones are strong acids and when they accumulate in large numbers, their presence leads to an acidosis. In alcoholics, a combination o Continue reading >>

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Popular Questions

  1. e

    Plus sized weight gain? Keto diet?

    Ok so I am a plus size pregnant lady. I finally started strict dieting about two months before I found out I was pregnant and lost about 25lbs. I have continued eating healthy (for the most part) during this pregnancy. I am happy that I have only gained 1lb during the pregnancy so far with 9 weeks til scheduled c-section. My doctor never mentions my weight and I assume that because I am already heavier it's not a big deal that I haven't gained more weight.
    So my question is how are your doctors mentioning your weight or weight gain/loss.

    Also who is already planning their diets after baby? I am thinking of trying a keto. Anyone doing or have done this?

  2. danielle0730

    My husband is on the keto diet and yes he has lost a great deal of weight - 15 pounds in one month but I'm pretty sure your not suppose to follow the keto diet while pregnant.

  3. danielle0730

    Oh I see you said post baby!

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