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Harrison's Principles of Internal Medicine, 18e
| Part 2. Cardinal Manifestations and Presentation of Diseases > Section 7. Alterations in Renal and Urinary Tract Function > |
Chapter e15. Fluid and Electrolyte Imbalances and Acid-Base Disturbances: Case Examples
Sections: Case 1, Case 2, Case 3, Case 4, Case 5, Case 6, Case 7, Case 8, Case 9, Further Readings.
Topics Discussed: acid-base disorders; disorder of fluid or electrolyte; water-electrolyte imbalance.
Excerpt:"A 23-year-old woman was admitted with a 3-day history of fever, cough productive of blood-tinged sputum, confusion, and orthostasis. Past medical history included Type I diabetes mellitus. A physical examination in the emergency department indicated postural hypotension, tachycardia, and Kussmaul respiration, and the breath was noted to smell of "acetone." Examination of the thorax suggested consolidation in the right lower lobe.The diagnosis of the acid-base disorder should proceed in a stepwise fashion:..."
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