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CASE REPORT
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| Chest pain in emergency department: A diagnosis of diabetic ketoacidosis must be ruled out |
| Nasir Mohamad1, Rashidi Ahmad2, PK Cheah2 |
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1Senior Lecturer/ Consultant Emergency Physician, Department of Emergency Medicine, School of Medical Sciences, 16150 Kubang Kerian, Kelantan, Malaysia.
2Senior Lecture/ Emergency Physician, Department of Emergency Medicine, School of Medical Sciences, Health Campus USM, 16150 Kubang Kerian, Kelantan, Malaysia. 3Emergency Physician, Department of Emergency Medicine, School of Medical Sciences, Health Campus USM, 16150 Kubang Kerian, Kelantan, Malaysia. |
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doi:10.5348/ijcri-2010-11-5-CR-2
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Address correspondence to: Nasir Mohamad Department of Emergency Medicine School of Medical Sciences 16150 Kubang Kerian, Kelantan Malaysia Phone: +6097676978 Fax: +6097673219 Email: drnasirmohamadkb@yahoo.com |
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| How to cite this article: |
| Mohamad N, Ahmad R, Cheah PK. Chest pain in emergency department: A diagnosis of diabetic ketoacidosis must be ruled out. International Journal of Case Reports and Images 2010;1(3):6-9. |
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Abstract
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Introduction: Diabetic ketoacidosis (DKA) is a common diabetic complication presenting to the Emergency Department (ED). Early recognition and initial aggressive treatment of DKA decreases morbidity and mortality. Clinical presentations of DKA are non specific such as nausea, vomiting, dehydration and abdominal pain. Chest pain is unusual presentation of DKA, however, acute coronary syndrome and pericarditis that manifest with chest pain are known precipitating factors of DKA. Case Report: We report a case of a middle aged diabetic patient who was presented with severe chest pain and elevated creatine kinase that might have thrown us off the correct diagnosis of DKA. Conclusion: A description of his presentations and acute management, along with review of literatures, is presented. | |
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Key Words:
Chest pain, Elevated creatine kinase, Diabetic ketoacidosis
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Author Contributions:
Nasir Mohamad - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Rashidi Ahmad - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published PK Cheah - Acquisition of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
The author(s) declare no conflict of interests |
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Copyright:
© Nasir Mohamad et. al. 2010; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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