Case report n°1 Metabolic disorder. A&E meeting 22 february 2012. Presentation of the case. Male Korean patient 39 years old, coming for confusion anorexia, hypothermia. Past history: HTN, diabetes (according his friend), depressive mood. Unknown treatment (Insuline?)
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22 february 2012
Technique: Coupes axiales avant et après Injection de contraste des coupoles diaphragmatiques à la symphyse pubienne. Le patient ne peut bloquer sa respiration.
AU TOTAL:Pneumopathie basale.
Creat 179 micromole/l
Na 102 mmol/l & Cl 65mmol/l
K 7,2 mmol/l
Alcalin Reserve 3mmol/l
Urine: Glucose ++++, Cetone ++
* Normal Anion Gap = 12 +/-2mmol/l
Nac = Nam + ((Glycemia g/l – 1) x 1.6)
Nac: Corrected Na (Real Na) Nam: Mesured Na (Lab. Result)
Real Na = 126mmol/l