Diabetic ketoacidosis (DKA) is a life-threatening complication in patients with Type 1 or Type II. Diabetes Mellitus resulting in fluid shifts, electrolytes imbalance and acid-base disorders, can lead to multi-organ F...Diabetic ketoacidosis (DKA) is a life-threatening complication in patients with Type 1 or Type II. Diabetes Mellitus resulting in fluid shifts, electrolytes imbalance and acid-base disorders, can lead to multi-organ Failure. The Pancreas and skeletal muscles are not commonly affected in DKA. We present a case of 41-year-old female who was initially admitted in intensive care unit for treatment of Diabetic ketoacidosis, and was treated appropriately later she complained of abdominal pain and generalized myalgia. Hospital course was complicated with Acute pancreatitis and Rhabdomyolysis. Serum electrolytes were significant for hypo-phosphatemia. Workup for myositis and acute pancreatitis were negative. The exact etiology is unknown, but it is proposed in many literature articles that serum hyper-osmolarity and/or electrolyte abnormalities can be the culprits in triggering the complications.展开更多
Recently, the incidence of papillary thyroid cancer increases rapidly than any other type of cancer worldwide, without the age and gender discrimination. Environmental or therapeutic exposure of radiation is main culp...Recently, the incidence of papillary thyroid cancer increases rapidly than any other type of cancer worldwide, without the age and gender discrimination. Environmental or therapeutic exposure of radiation is main culprit of papillary thyroid cancer, but there is limited research available to support that to the usage of infertility drug associated with papillary thyroid cancer. We presented the rare and interesting case of papillary thyroid cancer while patient was on clomiphene citrate for the management of infertility. We found few studies which showed pathophysiology connection between in CC and papillary cell carcinoma.展开更多
文摘Diabetic ketoacidosis (DKA) is a life-threatening complication in patients with Type 1 or Type II. Diabetes Mellitus resulting in fluid shifts, electrolytes imbalance and acid-base disorders, can lead to multi-organ Failure. The Pancreas and skeletal muscles are not commonly affected in DKA. We present a case of 41-year-old female who was initially admitted in intensive care unit for treatment of Diabetic ketoacidosis, and was treated appropriately later she complained of abdominal pain and generalized myalgia. Hospital course was complicated with Acute pancreatitis and Rhabdomyolysis. Serum electrolytes were significant for hypo-phosphatemia. Workup for myositis and acute pancreatitis were negative. The exact etiology is unknown, but it is proposed in many literature articles that serum hyper-osmolarity and/or electrolyte abnormalities can be the culprits in triggering the complications.
文摘Recently, the incidence of papillary thyroid cancer increases rapidly than any other type of cancer worldwide, without the age and gender discrimination. Environmental or therapeutic exposure of radiation is main culprit of papillary thyroid cancer, but there is limited research available to support that to the usage of infertility drug associated with papillary thyroid cancer. We presented the rare and interesting case of papillary thyroid cancer while patient was on clomiphene citrate for the management of infertility. We found few studies which showed pathophysiology connection between in CC and papillary cell carcinoma.
