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- Mary E. Stunkard, PhD⇑
- Valerie T. Pikul
- Kevin Foley, PhD, MT
- Address for correspondence: Mary E. Stunkard PhD, Northern Michigan University, 1401 Presque Isle Avenue, 3511 West Science Building, Marquette, MI, 49855, 906-227-1662, mstunkar{at}nmu.edu.
Abstract
In this report we describe a patient who presented with nausea, vomiting, diarrhea, tachypnea and mental impairment. The patient had elevated serum lipase, troponin-I, creatinine kinase and myoglobin along with severe hyperglycemia (> 2000 mg/dl) and no ketouria. This patient was found to have nonketotic hyperosmolar hyperglycemia with concomitant rhabdomyolysis and myocardial infarction.
ABBREVIATIONS: CK, creatine phosphokinase, CT, computed axial tomography, DKA, diabetic ketoacidosis, HHS, hyperosmolar hyperglycemic syndrome, BUN, blood urea nitrogen, GFR, glomerular filtration rate, TnI, troponin-I, WBC, white blood cell count.
- INDEX TERMS
- case study
- electrolytes
- osmolality
- ketones
- © Copyright 2011 American Society for Clinical Laboratory Science Inc. All rights reserved.