منابع مشابه
161 - Alcoholic Ketoacidosis
in severity: ketoacidosis, lactic acidosis, acetic acidosis, and loss of bicarbonate in urine. AKA arises from a complicated interplay of the metabolic effects of alcohol in fasted, dehydrated alcoholics who abruptly stop their intake of ethanol. β-Hydroxybutyrate is the predominant ketoacid. Metabolism of ethanol to acetaldehyde is catalyzed by alcohol dehydrogenase in the liver and results in...
متن کاملAlcoholic ketoacidosis associated with multiple complications: report of 3 cases.
We report 3 patients with alcoholic ketoacidosis (AKA). All had a history of excessive intake and abrupt termination of alcohol. They showed tachypnea, tachycardia, abdominal tenderness, and epigastralgia. Metabolic acidosis with an increased anion gap, decreased PaCO2 and ketonemia were present. One patient whose ratio of 3-hydroxybutyric acid to acetoacetic acid was 4.0 was associated with di...
متن کاملSepsis and acute respiratory distress syndrome in alcoholic ketoacidosis.
Alcoholic ketoacidosis (AKA) is a syndrome characterized by metabolic acidosis with a large anion gap, malnutrition, and excessive alcohol intake in an alcoholic. AKA is commonly found in emergency units, especially in western countries, but it is seldom found in Indonesia, although the exact prevalence rate is still unknown. Acid base imbalance is different compared to metabolic acidosis with ...
متن کاملCharacteristics of Severe Alcoholic Ketoacidosis with a Reversible Visual Disturbance
Alcoholic Ketoacidosis (AKA) is an acute metabolic acidosis that typically occurs in people who chronically abuse alcohol and have a recent history of binge drinking, little or no food intake and persistent vomiting [1]. AKA is a result of starvation with glycogen depletion and counter-regulatory hormone production, an increased ratio of Nicotinamide Adenine Dinucleotide (NADH) to Nicotinamide ...
متن کاملAlcoholic ketoacidosis as a cause of death, who came first?
I read with interest the article ‘The Postmortem Diagnosis of Alcoholic Ketoacidosis’ by Palmiere and Augsburger (2014). However for the sake of truth I must protest against the statement on page 272: ‘The first report in the forensic field suggesting that ketoacidosis could be partially responsible for unexplained deaths in alcoholics dates back to 1993 and concerns a study performed by L.N. D...
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ژورنال
عنوان ژورنال: Emergency Medicine Journal
سال: 2006
ISSN: 1472-0205,1472-0213
DOI: 10.1136/emj.2004.017590