Diabetic ketoacidosis associated with outpatient treatment using continuous subcutaneous insulin infusion.

Abstract:

:The occurrence of ketoacidosis in out-patient diabetics treated with continuous subcutaneous insulin infusion (CSII) has received little attention. We report two such cases of ketosis, each precipitated by infection and occurring in patients previously well controlled on CSII. This report illustrates that the risk of ketoacidosis is ever present in insulin-treated patients, whether the insulin is infused by pump or injected intermittently.

journal_name

Postgrad Med J

authors

Boulton AJ,Knight G,Drury J,Ward JD

doi

10.1136/pgmj.59.693.438

subject

Has Abstract

pub_date

1983-07-01 00:00:00

pages

438-9

issue

693

eissn

0032-5473

issn

1469-0756

journal_volume

59

pub_type

杂志文章
  • Acute myeloblastic leukaemia associated with solitary plasmacytoma of the ilium.

    abstract::A 72 year old man developed acute myeloblastic leukaemia two years after he had been treated with local curative therapy and chemotherapy for a solitary plasma cytoma of the ilium. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.62.734.1131

    authors: Maharaj D,Dolan G

    更新日期:1986-12-01 00:00:00

  • Subendocardial infarction and thrombocytopenia.

    abstract::Two female patients who suffered from drug-induced thrombocytopenic purpura and subendocardial myocardial infarction are presented. One of them died from cerebral haemorrhage and diffuse subendocardial punctate haemorrhages were found at post-mortem. The abnormal haemostasis which is associated with thrombocytopenia m...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.55.639.36

    authors: Fireman Z,Yust I,Zahavi J,Kahn Y,Abramov LA

    更新日期:1979-01-01 00:00:00

  • Optimising clinical performance during resuscitation using video evaluation.

    abstract::Video evaluation of resuscitation is becoming increasingly integrated into practice in a number of clinical settings. The purpose of this review article is to examine how video may enhance clinical care during resuscitation. As healthcare and available therapeutic interventions evolve, re-evaluation of accepted paradi...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2016-134357

    authors: Lowe DJ,Dewar A,Lloyd A,Edgar S,Clegg GR

    更新日期:2017-08-01 00:00:00

  • Paediatric liver transplantation: the surgical view.

    abstract::Liver transplantation is the accepted treatment for a wide variety of liver diseases in children. Over the past 10 years a number of innovative surgical techniques have been developed to overcome the shortage of size matched donors particularly in children less than 5 years of age. Graft and patient survival at one ye...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2003.018598

    authors: Vilca-Melendez H,Heaton ND

    更新日期:2004-10-01 00:00:00

  • Inhalation of chlorine gas.

    abstract::The clinical features of acute chlorine gas inhalation, and its management are reviewed. Current medical views on the chronic effects of an acute overwhelming exposure on lung function (reactive airways dysfunction syndrome), and the more controversial field of lung disease secondary to repeated inhalations of lower c...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.73.865.697

    authors: Williams JG

    更新日期:1997-11-01 00:00:00

  • Pubic osteomyelitis presenting as irritable hip.

    abstract::Two cases of pubic osteomyelitis presenting as a painful hip are reported. In both cases the diagnosis was delayed by the unusual presentation and by the limited radiological investigation. Pubic osteomyelitis is rare in childhood but should be considered in the differential diagnosis of the 'irritable hip'. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.738.301

    authors: Weinberg JR,Berman L,Dootson G,Mitchell R

    更新日期:1987-04-01 00:00:00

  • Late presentation of a congenital gastric diverticulum causing pyloric obstruction.

    abstract::We report a case of adult pyloric obstruction caused by the delayed presentation of a congenital gastric diverticulum. The derivation, classification and treatment of these abnormalities are discussed. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.68.798.296

    authors: Hale PC,O'Flynn WR

    更新日期:1992-04-01 00:00:00

  • Effects of acetazolamide on cerebral blood flow and brain tissue oxygenation.

    abstract::Oral administration of 1 g of acetazolamide to 8 normal subjects studied at sea level and in normoxia caused an acute increase in cerebral blood flow (CBF). During the subsequent prolonged oral treatment with 1 g of acetazolamide daily, CBF returned to normal within 2 days. The alveolar CO2 tension decreased gradually...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.737.185

    authors: Lassen NA,Friberg L,Kastrup J,Rizzi D,Jensen JJ

    更新日期:1987-03-01 00:00:00

  • Jaundice following warfarin therapy.

    abstract::A case of intrahepatic cholestatic jaundice following warfarin therapy is described. The patient made a complete recovery on withdrawal on the drug. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.56.659.671

    authors: Jones DB,Makepeace MC,Smith PM

    更新日期:1980-09-01 00:00:00

  • Calcific constrictive pericarditis due to rheumatoid arthritis.

    abstract::A patient with calcific constrictive pericarditis due to rheumatoid arthritis is presented: the literature reveals only one previous case which was attributed to the long duration of the rheumatoid arthritis. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.66.771.57

    authors: Manji H,Raven P

    更新日期:1990-01-01 00:00:00

  • Reflux oesophagitis and Helicobacter pylori infection in elderly patients.

    abstract::Helicobacter pylori is associated with gastritis, peptic ulcers and gastric malignancies. Little attention has been paid to the possibility that it may also have a role in the pathogenesis of reflux oesophagitis. This is especially true in elderly patients who have life-long infection and provide an ideal group to stu...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.72.846.221

    authors: Liston R,Pitt MA,Banerjee AK

    更新日期:1996-04-01 00:00:00

  • COX-2 inhibitors and the heart: are all coxibs the same?

    abstract::The selective COX-2 inhibitors (coxibs) were originally developed to minimise the adverse effects of conventional non-steroidal anti-inflammatory drugs (NSAIDs) while maintaining the same analgesic and anti-inflammatory properties. Many large studies confirmed the improved gastric side effect profile of coxibs compare...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2005.042234

    authors: Sooriakumaran P

    更新日期:2006-04-01 00:00:00

  • Lornoxicam, indomethacin and placebo: comparison of effects on faecal blood loss and upper gastrointestinal endoscopic appearances in healthy men.

    abstract::Forty-five healthy men aged 21-34 years took part in a double-blind, parallel-group, placebo-controlled study of the effects of 28 days' treatment with lornoxicam 4 mg twice daily or indomethacin 50 mg twice daily on faecal blood loss and the endoscopic appearances of gastric and duodenal mucosa. After an initial endo...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/pgmj.66.778.622

    authors: Warrington SJ,Debbas NM,Farthing M,Horton M,Johnston A,Thillainayagam A,Turner P,Ferber H

    更新日期:1990-08-01 00:00:00

  • Primary meningococcal pericarditis with tamponade.

    abstract::A case of primary purulent meningococcal pericarditis presenting with chest pain, hypotension and cardiac tamponade followed by oliguric renal failure is reported. Treatment with antibiotics and surgical drainage was successful. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.722.1067

    authors: Ramsdale DR,Kaul TK,Coulshed N

    更新日期:1985-12-01 00:00:00

  • Parasites in fine needle breast aspirates--assessment of host tissue response.

    abstract::Parasites in the human breast are uncommon but not rare. Cysticercus and filariasis in fine needle breast aspirates have been documented and their cytomorphology is well characterised. However, the host tissue response to these parasites and the factors responsible for their initiation are not clear. Over a 21 year pe...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.917.165

    authors: Sahai K,Kapila K,Verma K

    更新日期:2002-03-01 00:00:00

  • Incidence of dual antiplatelet therapy interruption within 1 year after primary percutaneous coronary intervention in patients with acute ST elevation myocardial infarction.

    abstract:BACKGROUND:After primary percutaneous coronary intervention (PPCI) in patients with acute ST elevation myocardial infarction (STEMI), dual antiplatelet therapy (DAPT) is recommended to continue for 1 year. Occasionally, DAPT interruption may be required due to bleeding issues or unplanned surgical procedures. OBJECTIV...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2019-136760

    authors: Tam CC,Lee J,Chan KW,Lam CC,Wong YT,Chan E,Sze M,Lam YM,Chan C,Tse HF,Siu CW

    更新日期:2020-01-01 00:00:00

  • Prospective study of acute gastrointestinal bleeding attributable to anti-inflammatory drug ingestion in the Yorkshire region of the United Kingdom.

    abstract:OBJECTIVE:To assess the general use of all non-steroidal anti-inflammatory drugs (NSAID) and their relation to upper gastrointestinal bleeding in view of National Institute for Clinical Excellence guidelines published in July 2001 in the UK. METHODS:Cross sectional study on all patients who were referred for endoscopy...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,多中心研究

    doi:10.1136/pgmj.2004.024885

    authors: Lim CH,Heatley RV

    更新日期:2005-04-01 00:00:00

  • Haemorrhage through the ampulla of Vater.

    abstract::A patient with chronic pancreatitis presented with a series of massive upper gastrointestinal haemorrhages due to bleeding into the pancreatic duct. This report emphasizes the value of intensive investigation before surgery, since it may be impossible to identify the site of bleeding at laparotomy. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.61.716.533

    authors: Ribbans WJ,Pounder RE,Lindsay I

    更新日期:1985-06-01 00:00:00

  • FAST-TIA: a prospective evaluation of a nurse-led anterior circulation TIA clinic.

    abstract:BACKGROUND:Transient ischaemic attacks (TIAs) carry a significant early risk of stroke. New national guidelines state patients should be seen within 7 days of the incident, with higher-risk patients being seen within 24 h. Meeting these targets across the NHS poses a significant challenge. A novel approach to TIA asses...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.2009.083162

    authors: Banerjee S,Natarajan I,Biram R,Sutton K,Ekeng G,Ames D,Chataway J

    更新日期:2009-12-01 00:00:00

  • Emerging concepts in the management of acute retinal necrosis.

    abstract::Acute retinal necrosis (ARN), also known as Kirisawa-type uveitis, is an uncommon condition caused by infection of the retina by one of the herpes family of viruses, most typically varicella zoster virus or herpes simplex virus and less commonly cytomegalovirus. Clinical diagnosis can be challenging and is often aided...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2012-301983rep

    authors: Wong RW,Jumper JM,McDonald HR,Johnson RN,Fu A,Lujan BJ,Cunningham ET Jr

    更新日期:2013-08-01 00:00:00

  • Cerebral neoplastic angioendotheleosis complicated by hypercalcaemia.

    abstract::This is a case report of a 67 year old man who presented with a fluctuating level of consciousness and myoclonic jerks caused in part by hypercalcaemia. The diagnosis of cerebral neoplastic angioendotheleosis was only made later on brain biopsy and is the first report of the occurrence of hypercalcaemia in neoplastic ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.67.788.571

    authors: Wierzbicki AS,Gibbs JM,Lidov HG,Lolin Y,Thomas PK

    更新日期:1991-06-01 00:00:00

  • Assessing clinical competency in medical senior house officers: how and why should we do it?

    abstract::Most consultants are involved in the training and assessment of several grades of doctors in training especially senior house officers (SHOs) and specialist registrars. In the medical and other specialties there is an increasing trend towards assessing junior doctors' competency using the record of in-training assessm...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pmj.2003.011718

    authors: Carr SJ

    更新日期:2004-02-01 00:00:00

  • Reversibility of alcoholic cardiomyopathy.

    abstract::A patient with alcoholic cardiomyopathy is described in whom cardiovascular function capacity and radiological heart size fluctuated widely with periods of heavy drinking and abstinence. On two occasions, cessation of drinking resulted in clinical recovery from severe degrees of congestive failure and in complete reve...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.60.700.151

    authors: Kupari M

    更新日期:1984-02-01 00:00:00

  • Spinal reconstruction for symptomatic thoracic haemangioma using a titanium cage.

    abstract::Most vertebral haemangiomas are asymptomatic. A case of spinal reconstruction for symptomatic extraosseous thoracic haemangioma using a titanium cage is reported. Radiographs of the T11 vertebra demonstrated characteristic vertical striations. Magnetic resonance imaging and computed tomography showed spinal cord compr...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.923.559

    authors: Ogura T,Mori M,Hayashida T,Osawa T,Hase H

    更新日期:2002-09-01 00:00:00

  • A case of multiple endocrine adenomatosis with primary amenorrhoea.

    abstract::A well documented sporadic case of multiple endocrine adenomatosis (MEA) type I, with the pituitary tumour presenting as a prolactinoma, is described in a 28-year-old female. Primary amenorrhoea, resulting from hyperprolactinaemia, was the first symptom of the polyglandular neoplasia. A gastrinoma was removed from the...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.54.635.618

    authors: Vandeweghe M,Braxel K,Schutyser J,Vermeulen A

    更新日期:1978-09-01 00:00:00

  • Localisation of the cricothyroid membrane by digital palpation in the emergency department.

    abstract:INTRODUCTION:A surgical approach to airway management may be essential in situations of difficult or failed airway, where immediate airway access is needed to provide oxygenation. However, the procedure is uncommonly performed and expertise among emergency clinicians may be limited. OBJECTIVES:The aim of this study wa...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2018-135828

    authors: Alshareef H,Al Saawi A,Almazroua F,Alyami H,Reilly GO,Mitra B

    更新日期:2018-08-01 00:00:00

  • Chronic kidney disease presenting acutely: presentation, clinical features and outcome of patients with irreversible chronic kidney disease who require dialysis immediately.

    abstract:BACKGROUND:Patients with irreversible chronic kidney disease who require dialysis immediately are a subset of ultra late referrals for whom the term chronic kidney disease presenting acutely might usefully be applied. Although well known to nephrologists and recognised as a specific group with considerable problems, li...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.2009.078956

    authors: Wolfe M,Almond A,Robertson S,Donaldson K,Isles C

    更新日期:2010-07-01 00:00:00

  • Four years of experience of telemedicine for paediatric care in three Punjab hospitals, North India: achievements and lessons.

    abstract::Children in India constitute a very high risk group from mortality and morbidity due to lack of specialised healthcare. Remote care of paediatric patients by offsite specialists using telemedicine technology is a highly potential solution for coping up with the shortage of specialists in Indian subcontinent. We at a t...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.2009.082735

    authors: Singh M,Das RR

    更新日期:2010-12-01 00:00:00

  • Comparison of the efficacy of an ACE-inhibitor and a calcium channel blocker in hypertensive asthmatics. A preliminiary report.

    abstract::A series of 8 adult patients with stable bronchial asthma and an established diagnois of essential hypertension (WHO I and II) was studied in a randomized double-blind cross-over study to assess the effect of captopril (50-100 mg/day) and verapamil (160-240 mg/day) on blood pressure, lung function and asthmatic sympto...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Riska H,Stenius-Aaniala B,Sovijärvi AR

    更新日期:1986-01-01 00:00:00

  • Subarachnoid haemorrhage: difficulties in diagnosis and treatment.

    abstract::Aneurysmal subarachnoid haemorrhage is associated with a uniquely severe headache of acute onset. Classical cases are readily identified as such, although this is not always the case. Four cases who were admitted to a district general hospital within a 3-month period are presented, because they demonstrate a variety o...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.74.878.743

    authors: Johnston SD,Robinson TJ

    更新日期:1998-12-01 00:00:00