European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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The combined clinical and biochemical profile of diabetic ketoacidosis, hyperglycemic hyperosmolar non-ketotic syndrome, complicated by acute pancreatitis, in an 11-year-old with established insulin-dependent diabetes mellitus, is presented. The management requires diligent correction of dehydration and hyperglycemia, while monitoring neurological status and blood chemistry. It is imperative to monitor and avoid potentially fatal complications of the combined entity, namely, cerebral edema, thromboembolism, acute respiratory distress syndrome and rhabdomyolysis. Excluding acute pancreatitis in the face of persistent abdominal pain in this setting is emphasized.
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This report highlights the uncommon disease of Langerhans cell histiocytosis in the context of nontraumatic back pain. Langerhans cell histiocytosis has a broad range of presentations and should be borne in mind in many differential diagnoses in the emergency and general practice setting. Back pain in children, contrary to back pain in adults, is frequently the result of a treatable organic pathology and should be assessed thoroughly before a diagnosis of nonspecific or mechanical back pain is made.
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The aim of the study was to evaluate the effects of different resuscitation solutions on wound healing in an animal model of sublethal hemorrhagic shock. ⋯ It can be concluded that resuscitation with modified fluid gelatin may have detrimental effects on wound healing in an experimental model of sublethal hemorrhagic shock.