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Revista Clínica de Medicina de Familia

On-line version ISSN 2386-8201Print version ISSN 1699-695X

Abstract

GOMEZ GONZALEZ, Carlos; ARRIERO OLLERO, Laura; ROMERO CRUZ, Manuel  and  DOMINGUEZ HERENCIAS, Juan Carlos. Ketoacidosis associated with acute cholecystitis. Rev Clin Med Fam [online]. 2014, vol.7, n.2, pp.144-147. ISSN 2386-8201.  http://dx.doi.org/10.4321/S1699-695X2014000200011.

A 62 year old male with type 1 Diabetes mellitus (DM-1) being treated with short acting soluble human insulin, a smoker of 20-30 cigarettes per day, and who goes to the emergency department because of a deterioration in his general state of health. He has high blood sugar levels, despite having reduced intake of food which he is unable to control with his normal dosage of insulin. There is an associated clinical picture of loose stools over the last few days, as well as polydipsia. He also mentions abdominal cramps whose time of onset is vague, and which he does not relate to the current clinical picture. With a practically anodyne examination on his arrival and test abnormalities which could have been side effects of his diabetic imbalance, it was the imaging tests which provided the final diagnosis.

Keywords : Diabetic Ketoacidosis; Acute Cholecystitis; Acute; Diabetes mellitus.

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