Case records of the Massachusetts General Hospital. Case 23-2013. A 54-year-old woman with abdominal pain, vomiting, and confusion

N Engl J Med. 2013 Jul 25;369(4):374-82. doi: 10.1056/NEJMcpc1208154. Epub 2013 Jul 10.

Authors

Kamyar Kalantar-Zadeh¹, Raul N Uppot, Kent B Lewandrowski

Affiliation

¹ Department of Medicine, University of California, Irvine, Orange, USA.

PMID: 23841704
DOI: 10.1056/NEJMcpc1208154

No abstract available

Publication types

Case Reports
Clinical Conference

MeSH terms

Abdominal Pain / etiology
Acidosis, Lactic / chemically induced
Acidosis, Lactic / diagnosis*
Confusion / etiology
Diabetes Mellitus, Type 2 / complications
Diabetes Mellitus, Type 2 / drug therapy
Diagnosis, Differential
Female
Humans
Hydrogen-Ion Concentration
Kidney / diagnostic imaging
Kidney / pathology
Lactic Acid / blood*
Metformin / adverse effects*
Metformin / therapeutic use
Middle Aged
Pancreas / diagnostic imaging
Pancreas / pathology
Pancreatitis / chemically induced
Pancreatitis / diagnosis
Renal Insufficiency, Chronic / complications
Tomography, X-Ray Computed
Ultrasonography
Vomiting / etiology

Substances

Lactic Acid
Metformin