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25 Possible Causes for Hypothermia, Starvation Ketosis

  • Anorexia Nervosa

    ) further magnifies the impact of the malnutrition on the brain, owing to it being in a starvation-illness mode.[] Vitals on presentation were notable for hypothermia, hypotension, and bradycardia. Initial exam was significant for emaciation, lethargy, and lower extremity edema.[] Physical ( for nasogastric resuscitation ) Bradycardia ( 50 bpm) Postural hypotension (fall in systolic BP lying to standing 20 mmHg) Dehydration Hypothermia (temp.[]

  • Malnutrition

    Ketosis, loss of body weight and muscular power accompany a lower metabolic rate.[] On autopsy, most of the findings from the internal examination were suggestive of hypothermia.[] […] regulation: Especially seen in people with cachexia, people who endure severe weight loss due to undernutrition find themselves unable to store body heat, which can lead to hypothermia[]

  • Chronic Alcoholism

    Ethanol also causes structural abnormalities in the liver mitochondria which leads to ketosis superimposed by starvation, chronic malnutrition [ 13, 14 ].[] […] alcohol-related organ and tissue damage (cirrhosis, pancreatitis), positional asphyxia or suffocation by inhalation of vomit, exposure to cold coupled with alcohol-induced hypothermia[]

  • Diabetes Mellitus

    In addition, although alcoholic ketoacidosis can result in profound acidosis, the serum bicarbonate concentration in starvation ketosis is usually not 4 ).[] Severe hypothermia, if present, is a poor prognostic sign ( 33 ).[] Starvation ketosis and alcoholic ketoacidosis are distinguished by clinical history and by plasma glucose concentrations that range from mildly elevated (rarely 200 mg/dl)[]

  • Diabetic Ketotic Coma

    , which is caused by starvation, prolonged fasting, or a severe lack of carbohydrates in one’s diet.[] .), impaired mentation, hypothermia Etiology – DKA is due to loss of insulin, which directly causes hyperglycemia and high ketone bodies Note: insulin does not directly cause[] Cerebrovascular accident Myocardial infarction Acute pancreatitis Acute pulmonary embolus Intestinal obstruction Dialysis, peritoneal Mesenteric thrombosis Renal failure Heat stroke Hypothermia[]

  • Alcohol-induced Hypoglycemia

    Ethanol also causes structural abnormalities in the liver mitochondria which leads to ketosis superimposed by starvation, chronic malnutrition [ 13 , 14 ] .[] States, alcoholic patients who present with a depressed mental status are usually not in a hypoglycemic coma, but instead have other etiologies of coma such as sepsis, shock, hypothermia[]

  • Alcoholic Ketoacidosis

    ketosis.[] Some cases also displayed concomitant respiratory acidosis, hypothermia, hypoxia and/or hemorrhage.[] Altered mental status, fever, hypothermia, or other abnormal findings were uncommon and reflected other underlying processes.[]

  • Acidosis

    , alcohol and DKA) Download PDF of GOLDMARK mnemonic Osmolar Gap common differential diagnosis Ketoacids (DKA, AKA, starvation ketosis) Alcohols Sepsis Ischemia Sodium bicarbonate[] We present the case of a patient with new-onset diabetes, severe acidosis, hypothermia, and shock who presented to a Role 1 Battalion Aid Station (BAS) in Afghanistan.[] Causes: Metabolic Acidosis and Elevated Anion Gap (Mnemonic: "MUD PILERS") Methanol, Metformin Uremia Diabetic Ketoacidosis (DKA), Alcohol ic ketoacidosis or starvation ketosis[]

  • Diabetic Ketoacidosis

    It is possible that starvation ketosis contributed to the development of the high anion gap metabolic acidosis in our patient.[] The cause of death was the combined effects of hypothermia and diabetic ketoacidosis.[] Differential Diagnosis of Diabetic Ketoacidosis Gastroenteritis Hyperosmolar hyperglycemic state Myocardial infarction 14 Pancreatitis 18 Starvation ketosis 14 High anion[]

  • Ileus

    Thus, patients with starvation ketosis rarely present with a serum bicarbonate concentration DKA must also be distinguished from other causes of high anion gap metabolic acidosis[] Overall, 530 (83.2%) patients experienced intraoperative hypothermia.[] Sepsis related to gram-negative bacteria can present with hypotension, hypothermia, and bradycardia.[]

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