HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Joffe, H. V. Articles by Abrahamson, M. J. Search for Related Content PubMed Articles by Joffe, H. V. Articles by Abrahamson, M. J. Social Bookmarking                What's this?

Case Study: Tea-Colored Urine in a Patient With Diabetic Ketoacidosis

The first 20% of the full text of this article appears below.

	Presentation

 
C.S., a previously healthy 26-year-old Cantonese woman, presented with 6 days of nausea, vomiting, occasional fevers, and nonspecific abdominal pain that progressed to myalgias, polyuria, polydipsia, fatigue, and delirium. She had been asleep in bed for many hours preceding admission. Her only medication was an oral contraceptive, and she did not use herbals or alcohol. Her father had type 2 diabetes.

In the emergency room, she was mildly delirious, hyperventilating, afebrile, and dehydrated. She weighed 133 lb, her pulse was 110 bpm, and her blood pressure was 102/62 mmHg. The physical exam was otherwise normal.

Urinalysis revealed 4+ glucose and ketones, large blood without red blood cells, and no infection. The urine was tea-colored. Plasma glucose was 809 mg/dl, betahydroxybutyrate 6.9 mmol/l, lactate 3.2 mmol/l, sodium 126 mmol/l, potassium 4.9 mmol/l, creatinine 2.2 mg/dl, carbon dioxide 9 mmol/l, leukocytes 24,800/ml, arterial pH 7.06, and partial pressure of arterial carbon dioxide (PaCO₂) was 15 mmHg. Toxicology screen was negative, phosphate was 3.0 mmol/l, alanine aminotransferase was 299 IU/l, and aspartate . . . [Full Text of this Article]

	Questions

 

	Commentary

 

	Clinical Pearls

 

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?