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Topic: Alcoholic ketoacidosis

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	Alcoholic Ketoacidosis: Diabetes Mellitus and Disorders of Carbohydrate Metabolism: Merck Manual Professional
		Alcoholic ketoacidosis is a metabolic complication of alcohol use and starvation characterized by hyperketonemia and anion gap metabolic acidosis without significant hyperglycemia.
		Alcoholic ketoacidosis causes nausea, vomiting, and abdominal pain.
		Alcoholic ketoacidosis is attributed to the combined effects of alcohol and starvation on glucose metabolism.
	www.merck.com /mmpe/sec12/ch158/ch158e.html (434 words)

	Ketoacidosis - Wikipedia, the free encyclopedia
		Ketoacidosis is a type of metabolic acidosis which is caused by high concentrations of keto acids, formed by the deamination of amino acids.
		Ketoacidosis should not be confused with ketosis, which is one of the body's normal processes for the metabolism of body fat.
		The ultimate reason for ketoacidosis in both cases is the same: the cell does not have enough glucose (in the case of diabetes because lack of insulin prevents the cell from taking up glucose, in the case of starvation because there is less glucose around), so it begins metabolizing fat molecules instead of simple sugars.
	en.wikipedia.org /wiki/Ketoacidosis (587 words)

	THE MERCK MANUAL OF GERIATRICS, Ch. 64, Disorders of Carbohydrate Metabolism
		Ketoacidosis may also be caused by alcohol and starvation (alcoholic ketoacidosis).
		Alcoholic ketoacidosis is characterized by hyperketonemia and anion gap metabolic acidosis without significant hyperglycemia.
		Development of alcoholic ketoacidosis is attributed to the combined effects of alcohol and starvation on glucose metabolism.
	www.merck.com /mrkshared/mmg/sec8/ch64/ch64c.jsp (411 words)

	Alcoholic Ketoacidosis: Prospective Study of ACTH, Cortisol, Insulin, and Glucagon Seric Levels
		Introduction: Alcoholic ketoacidosis is an unrecognised syndrome in Europe, whereas in USA, it is involved in 20% of the cases with ketoacidosis.
		The inclusion criteria were: (1) a past history of alcoholism, (2) absence of known diabetes, (3) metabolic acidosis with an increased anion gap and ketosis detected in the urine, (4) ketoacidosis correction without insulin, and (5) hospital discharge without antidiabetic medicine.
		Nevertheless, it is possible that starvation, diminution of alcoholic intoxication and alcoholic hepatitis induce a deviation of liver metabolism in favour of ketogenesis.
	pdm.medicine.wisc.edu /Staikowsky.htm (497 words)

	Ketoacidosis
		Ketoacidosis should not be confused with ketosis, which is one of the body's processes for the metabolism of body fat.
		Ketoacidosis occurs in two very different situations-- in type 1 diabetes (diabetic ketoacidosis) and in alcohol withdrawal (acoholic ketoacidosis).
		The ultimate reason for ketoacidosis in both cases is the same: the cell does not have enough glucose (in the case of diabetes because lack of insulin prevents the cell from taking up glucose, in the case of starvation because there is less glucose around).
	www.mrsci.com /Medical-Emergencies/Ketoacidosis.php (477 words)

	eMedicine - Alcoholic Ketoacidosis : Article by Irina Robinson
		Alcohol dehydrogenase metabolizes alcohol to acetaldehyde in the cytoplasm of hepatocyte mitochondria.
		Because both alcohol dehydrogenase and aldehyde dehydrogenase require nicotinamide adenine dinucleotide as a cofactor, nicotinamide adenine dinucleotide is consumed and the reduced form of nicotinamide adenine dinucleotide is generated.
		Symptoms of abdominal tenderness consistent with a diagnosis of alcoholic liver disease, pancreatitis, gastritis, or peptic ulcer disease may be revealed during abdominal examination and may mimic an abdominal emergency.
	www.emedicine.com /med/topic102.htm (3377 words)

	Beta-hydroxybutyric acid--an indicator for an alcoholic ketoacidosis as cause of death in deceased alcohol abusers
		Beta-hydroxybutyric acid--an indicator for an alcoholic ketoacidosis as cause of death in deceased alcohol abusers
		The classical indications of such deaths are: unexpected death of a chronic alcoholic; none or only traces of ethanol in the blood; increased acetone blood concentration; and neither autopsy, histology, microbiology, nor toxicology reveal the cause of death.
		In 25 cases of sudden and unexpected death of alcoholics we found pathologically increased levels of BHBA of 1260 to 47 200 (median 8000) mmol/L. This led us to the diagnosis of an alcoholic ketoacidosis (AKA) as cause of death in these cases.
	www.astm.org /DIGITAL_LIBRARY/JOURNALS/FORENSIC/PAGES/1770.htm (420 words)

	eMedicine - Alcoholic Ketoacidosis : Article by
		Alcoholic ketoacidosis (AKA) is an acute metabolic acidosis that typically occurs in people who chronically abuse alcohol and have a recent history of binge drinking, little or no food intake, and persistent vomiting.
		Alcohol level may be absent or low due to anorexia and decreased drinking in the preceding 1-3 days.
		This occurs because isopropyl alcohol is metabolized to acetone (a ketone body with a high measure of acid strength [pKa]).
	www.emedicine.com /EMERG/topic21.htm (2219 words)

	Best of Alcoholic
		Alcoholic Ketoacidosis - Alcoholic ketoacidosis (AKA) is an acute metabolic acidosis that typically occurs in people who chronically abuse alcohol and have.
		Alcoholic hepatitis is severe damage of the liver caused by drinking alcohol.
		Alcoholic hepatitis is a syndrome of progressive inflammatory liver injury associated with long-term heavy intake of ethanol.
	alcoholic.dex1.com /sitemap.htm (478 words)

	Lifespan's A - Z Health Information Library - Alcoholic ketoacidosis (Site not responding. Last check: 2007-10-30)
		Alcoholic ketoacidosis is an accumulation of ketones (a type of acid) in the blood, caused by excessive alcohol consumption.
		This disorder can be a complication of alcohol use, especially excessive alcohol use.
		Treatment in the hospital with intravenous fluids and frequent blood draws may be necessary to reverse the acidosis.
	www.lifespan.org /adam/healthillustratedencyclopedia/1/000323.html (237 words)

	Alcoholism
		Alcohol withdrawal is treated by oral or IV hydration along with medications that reverse the symptoms of alcohol withdrawal.
		Alcoholic ketoacidosis is treated with IV fluids and carbohydrates.
		Thiamine levels are often low in alcoholics, and deficiency of this important vitamin could lead to Wernicke's encephalopathy, a disorder characterized initially by the eyes looking in different directions from each other.
	www.emedicinehealth.com /alcoholism/page7_em.htm (979 words)

	p990727a - Alcoholic Ketoacidosis
		Abstract: Alcoholic ketoacidosis is a metabolic disorder that occurs in acute-on-chronic ethanol abusers who become acutely starved because of cessation of all caloric intake (including ethanol) owing to gastric intolerance or to an intercurrent acute illness.
		The precise pathogenesis, and especially the cause of the increased lipolysis, is not known, but several factors known or believed to promote ketogenesis are present in those patients.
		Elevated blood alcohol levels were present in two thirds of patients in whom alcohol levels were determined, and levels consistent with intoxication were seen in 40% of these patients.
	www.emory.edu /WHSCL/grady/amreport/litsrch99/p990727a.html (423 words)

	Alcoholic : Drug Rehab : Alcohol Rehab (Site not responding. Last check: 2007-10-30)
		The Iowa Alcoholic Beverages Division is responsible for the regulation and control of alcohol in...
		Alcoholic Hepatitis - Alcoholic hepatitis is a syndrome of progressive inflammatory liver injury associated with long-term heavy intake of ethanol.
		Alcoholic cardiomyopathy is a disorder in which excessive, habitual use of alcohol weakens...
	www.sequoiacenter.com /resource/alcoholic.html (1125 words)

	8.2 Ketoacidosis
		Ketoacidosis is a high anion gap metabolic acidosis due to an excessive blood concentration of ketone bodies (keto-anions).
		This typical situation leading to alcoholic ketoacidosis is a chronic alcoholic who has a binge, then stops drinking and has little or no oral food intake.
		Ketoacidosis and hyperglycaemia both occur due to the lack of insulin and the increase in glucagon and most of the clinical effects follow from these two factors
	www.anaesthesiamcq.com /AcidBaseBook/ab8_2.php (1634 words)

	Diabetes Directory: Ketoacidosis
		Ketoacidosis Ketoacidosis is a type of metabolic acidosis which is caused by high concentrations of keto acids, formed by the deamination of amino acids.
		Diabetic ketoacidosis a potentially life-threatening condition characterized by ketosis (elevated levels of ketone bodies in the blood) and acidosis (increased acidity of the blood).
		Ketoacidosis Signs Treatment Zama's experience Diabetic ketoacidosis is caused by a lack of insulin or an insufficient amount of insulin.
	www.diabetesdir.com /Ketoacidosis (1041 words)

	Alcoholic ketoacidosis
		Alcoholic ketoacidosis is an accumulation of ketones (a type of acid) in the blood, caused by excessive alcohol consumption.
		This disorder can be a complication of alcohol use, especially excessive alcohol use.
		Treatment in the hospital with intravenous fluids and frequent blood draws may be necessary to reverse the acidosis.
	www.stlukes-stl.com /health_content/health_ency/1/000323.htm (227 words)

	MedlinePlus Medical Encyclopedia: Alcoholic ketoacidosis
		Alcoholic ketoacidosis is the build up of ketones in the blood.
		The condition is an acute form of metabolic acidosis.
		Alcoholic ketoacidosis is caused by alcohol use, usually excessive.
	www.nlm.nih.gov /medlineplus/ency/article/000323.htm (287 words)

	Metabolic acidosis in an Afro-Caribbean man with hyperpigmentation -- 76 (897): 439 -- Postgraduate Medical Journal
		The presence of marked hyperglycaemia, ketonuria, and metabolic acidosis confirmed the diagnosis of diabetic ketoacidosis.
		Although alcohol may have contributed to the development of ketoacidosis in this case, it is unlikely to the sole cause since
		Diabetic ketoacidosis, the hallmark of type 1 diabetes, may also occur in type 2 diabetes associated with insulin resistant states.
	pmj.bmjjournals.com /cgi/content/full/76/897/439 (779 words)

	UsmleLine Forum
		A calculation of these unmeasured anions consists of the sum of plasma bicarbonate and chloride minus the plasma sodium concentration (the normal value is 8 to 16 mmol/L).
		Since the ratio of beta-hydroxybutyrate to acetoacetate is high in alcoholic ketoacidosis, ketonemia can be missed by the routinely employed nitroprusside (Acetest) reagent, which detects acetoacetate but not beta-hydroxybutyrate.
		Alcoholism and viral infections typically cause dilated cardiomyopathies.
	www.network54.com /Forum/4572/viewall-page-19 (1336 words)

	Alcoholic ketoacidosis at autopsy
		-hydroxybutyrate) were measured in 105 medicolegal autopsies (71 non-alcoholics, 22 chronic alcoholics, and 12 diabetics) using a coupled enzymatic head-space gas chromatographic method.
		The other 18 alcoholics had ketone levels not statistically different from non-alcoholics, suggesting that ketoacidosis is a significant factor in at most a small minority of alcoholic deaths.
		Three of 12 diabetics had extreme elevations of femoral blood ketone bodies: 87.5, 20.4, and 17.4 mM/L. Measurement of ketone bodies in vitreous humour or pericardial fluid using clinical laboratory methodologies is recommended in unexplained deaths in chronic alcoholics as well as diabetics.
	www.astm.org /DIGITAL_LIBRARY/JOURNALS/FORENSIC/PAGES/2997.htm (521 words)

	AllRefer Health - Alcoholic Ketoacidosis (Ketoacidosis - Alcoholic)
		AllRefer Health - Alcoholic Ketoacidosis (Ketoacidosis - Alcoholic)
		You are here : AllRefer.com > Health > Diseases and Conditions > Alcoholic Ketoacidosis
		Topics that might be of interest to you
	health.allrefer.com /health/alcoholic-ketoacidosis-info.html (264 words)

	Non Alcoholic Wine Resources (Site not responding. Last check: 2007-10-30)
		Wine is an alcoholic beverage produced by the fermentation...
		Buy Sell trade leads for alcoholic drink beverages, non alcoholic drinks, carbonated beverage, non carbonated drink, liquor and wine, non alcoholic beer and wine, non alcoholic punch, carbonated soft drinks, wholesale liquor, mineral water etc....
		The government is having discussions with the alcohol industry about producing a non-alcoholic beer.
	www.the-alcohol-resource.info /non-alcoholic-wine (1496 words)

	toxicconditions
		Note: the most common causes are ketoacidosis, lactic acidosis and salicylates.
		If these have been excluded, toxic alcohol poisoning (methanol, ethylene glycol) should be considered
		Also consider shock, trauma, organ failure or non-alcoholic ketoacidosis as causes of an elevated osmolal gap
	researchinpem.homestead.com /toxicconditions.html (145 words)

	The MSDS HyperGlossary: Ketosis
		The term may appear in reference to diabetes, as diabetic ketoacidosis or the consumption of too much alcohol as alcoholic ketoacidosis.
		Diabetic ketoacidosis and alcoholic ketoacidosis in the Merck Manual.
		Diabetic ketoacidosis at eMedicine.com is geared towards health professionals.
	www.ilpi.com /msds/ref/ketosis.html (403 words)

	Drinking (Alcohol) articles, support groups, and resources
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	www.medhelpinternational.org /HealthTopics/Drinking.html (4885 words)

	AllRefer Health - Alcoholic Ketoacidosis Complications (Ketoacidosis - Alcoholic)
		AllRefer Health - Alcoholic Ketoacidosis Complications (Ketoacidosis - Alcoholic)
		You are here : AllRefer.com > Health > Diseases and Conditions > Alcoholic Ketoacidosis: Complications of Alcoholic Ketoacidosis
		• Alcoholic Ketoacidosis Overview, Causes, and Risk Factors
	health.allrefer.com /health/alcoholic-ketoacidosis-complications.html (245 words)

	Diabetes Ketoacidosis
		Type 1 diabetes - DKA is a frequent complication of type 1 diabetes
		History of excessive alcohol intake in patients with chronic alcohol abuse Blood glucose is the key.
		If blood glucose is normal or low in the presence of ketonemia and metabolic acidosis, alcoholic ketoacidosis is likely and an osmolar gap may be present (difference between measured and calculated osmolality)
	enotes.tripod.com /dm-ketoacidosis.htm (1385 words)

	index.html Page 24
		Diabetic-Network has the latest information on abbott diabetes care.
		Diabetic-Network has the latest information on alcoholic ketoacidosis.
		Are you searching for diabetic candy recipes ?
	www.diabetic-network.com /diabetes/index24.html (436 words)

	ALCOHOLIC KETOACIDOSIS (Site not responding. Last check: 2007-10-30)
		A form of ketoacidosis that results from the overuse of alcohol.
		A metabolic derangement that occurs when their is an over abundance of ketone bodies (acetone) in the bloodstream.
		Copyright DSHI Systems, Inc., Last updated Feb. 2002
	www.medhelp.org /glossary/new/GLS_0194.HTM (87 words)

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