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Alcoholic ketoacidosis with multiple complications: a case report
Theodore Ngatchu1, Arvind Sangwaiya, Angela Dabiri
1Department of Gastroenterology, Ealing Hospital NHS Trust, Uxbridge Road, Southall, London UB1 3HW, UK.
Abstract:
Alcoholic ketoacidosis is a poorly diagnosed medical emergency usually identified in chronic alcohol misusers following an abrupt cessation or reduction of alcohol consumption. A high index of suspicion should be maintained by acute physicians as response to treatment is rapid with complete resolution of metabolic derangements. Complications are usually the result of not instituting the correct treatment or not addressing associated conditions. We describe a case of alcoholic ketoacidosis with multiple complications at presentation.
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Diagnosing Acidosis and Alkalosis
First, the pH level is assessed to determine whether the blood pH is normal (7.35–7.45), low (acidosis), or high (alkalosis).
Next, the PCO2 and HCO3− values are examined to...
