A patient presenting with metabolic acidosis despite severe vomiting—correct diagnosis by use of the physical-chemical approac

Lindner, Gregor; Pfortmüller, Carmen; Exadaktylos, Aristomenis K. (2013). A patient presenting with metabolic acidosis despite severe vomiting—correct diagnosis by use of the physical-chemical approac. American journal of emergency medicine, 31(6), 995.e1-995.e2. W.B. Saunders 10.1016/j.ajem.2013.01.022

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We describe the case of a 28-year-old otherwise healthy woman who presents to our emergency department with nausea for 2 days and severe vomiting for 1 day. She has no history of travel, and her medical history is unremarkable. The physical examination shows a soft and nontender abdomen. Laboratory examinations reveal the presence of significant metabolic alkalosis despite the severe vomiting of the patient. Hypochloremic alkalosis would be expected to be present in this patient. We explain how to correctly identify the rare cause of metabolic acidosis present in this patient using the physicochemical approach (Stewarts approach) for the analysis of human acid-base disorders.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine

UniBE Contributor:

Lindner, Gregor; Pfortmüller, Carmen and Exadaktylos, Aristomenis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0735-6757

Publisher:

W.B. Saunders

Language:

English

Submitter:

Romana Saredi

Date Deposited:

16 Jun 2014 15:28

Last Modified:

09 Nov 2015 09:51

Publisher DOI:

10.1016/j.ajem.2013.01.022

PubMed ID:

23478114

BORIS DOI:

10.7892/boris.50537

URI:

https://boris.unibe.ch/id/eprint/50537

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