Journal ArticleDOI
A child with abdominal pain and hyperglycemia: is it diabetic ketoacidosis?
TLDR
A case of an 11-year-old girl with acute necrotizing pancreatitis, who was initially diagnosed as having new onset diabetes with nonketotic hyperglycemia, is reported.Abstract:
Hyperglycemia, abdominal pain, and vomiting are the most common manifestations of diabetic ketoacidosis in pediatric patients. The absence of ketonemia in these patients should prompt a consideration of acute pancreatitis. We report a case of an 11-year-old girl with acute necrotizing pancreatitis, who was initially diagnosed as having new onset diabetes with nonketotic hyperglycemia.read more
Citations
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Journal ArticleDOI
The Precipitating Factor and Clinical Features of Diabetic Ketoacidosis
TL;DR: The clinical characteristics of children with DKA were examined and it was found that consciousness status was not correlated with laboratory values such as pH, bicarbonate, glucose, or dehydration status (BUN/Cr ratio).
Journal ArticleDOI
Hyperglykämie im Kindes- und Jugendalter
E. Schober,B. Rami +1 more
TL;DR: Despite low incidence rates, a differential diagnostic work-up of incidental hyperglycemia is useful, since it may prevent severe diabetic events such as diabetic ketoacidosis; moreover, in the case of specific types of monogenetic diabetes, patients can use oral antidiabetic drugs and the further disease course can be predicted.
References
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Journal ArticleDOI
Persistent hyperglycemia in critically ill children.
TL;DR: Hyperglycemia occurs frequently among critically ill nondiabetic children and is correlated with a greater in-hospital mortality rate and longer LOS.
Journal ArticleDOI
Association of diabetic ketoacidosis and acute pancreatitis: observations in 100 consecutive episodes of DKA
TL;DR: Although in this study AP in DKA appeared to be mild, a definite conclusion with regard to the severity should be based only on a much larger number of patients, as only 20% of patients with AP in general have serious disease.
Journal ArticleDOI
A comparative study of methods for the prediction of severity of attacks of acute pancreatitis
TL;DR: Diagnostic peritoneal lavage was carried out in 79 patients with acute pancreatitis, at a mean time of 7 h after admission to hospital, for the prediction of a severe attack by lavage.
Journal ArticleDOI
Acute pancreatitis in children
John R. DeBanto,Praveen S. Goday,Martha R. A. Pedroso,Rehan Iftikhar,Ali Fazel,Sanjay Nayyar,Darwin L. Conwell,Mark T. DeMeo,Frank R. Burton,David C. Whitcomb,Charles D. Ulrich,Lawrence K. Gates +11 more
TL;DR: The new scoring system performs better in this group than do existing systems, and has better sensitivity versus Ranson and Glasgow scores and a better negative predictive value than existing systems.
Journal ArticleDOI
Acute Abdominal Pain
Mark Flasar,Eric Goldberg +1 more
TL;DR: Outpatient physicians must have an understanding of the mechanisms of abdominal pain, as well as the common gastrointestinal causes that carry potentially higher morbidity and mortality.
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