“…Therefore, we can stress the importance of keen assessments and history taking in detecting the triad for an early aggressive approach to prevent adverse outcomes. …”
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“…The patient denied any prior history of DKA or use of any SGLT2-inhibitors, and denied decreased oral intake or vomiting prior to admission. He did report taking ketone supplements, "Keto Strong: Ketogenic Weight Management – Advanced Formulation," two tabs (700mg "proprietary keto blend") BID for 2-3 years with ingredients listed as: sodium beta-hydroxybutyrate, calcium beta-hydroxybutyrate, magnesium beta-hydroxybutyrate, medium chain triglyceride oil, L-arginine, alpha-ketoglutaric acid, and 7-keto-dehydroepiandrosterone. …”
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“…When the patient does not disclose cannabis use voluntarily, taking a thorough social history is critical to making the correct diagnosis. …”
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“…It was suspected that the Chinese herbal supplement had high contents of synthetic steroids as previously reported in literature(2) with resultant development of exogenous Cushing syndrome. He reported not taking his herbal supplement for a couple of days before admission; therefore, he was treated with high-dose steroids for suspected acute gout flare with resolution of his tachycardia and fever after completing testing for Cushing Syndrome. …”
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“…Between 2013 to 2018, the FDA received 12 case reports of Fournier's gangrene in patients taking SGLT2 inhibitors. Glucosuria from the medication creates a milieu which increases the chances of developing Fournier's gangrene. …”
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“…Labs were notable for Ca 12.7 mg/dL(8.6-10.3) though the patient reported taking chlorthalidone and calcium-based antacids. …”
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“…The patient denied any prior history of DKA or use of any SGLT2-inhibitors, and denied decreased oral intake or vomiting prior to admission. He did report taking ketone supplements, "Keto Strong: Ketogenic Weight Management – Advanced Formulation," two tabs (700mg "proprietary keto blend") BID for 2-3 years with ingredients listed as: sodium beta-hydroxybutyrate, calcium beta-hydroxybutyrate, magnesium beta-hydroxybutyrate, medium chain triglyceride oil, L-arginine, alpha-ketoglutaric acid, and 7-keto-dehydroepiandrosterone. …”
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“…As expected, individuals taking GnRHas had significantly lower luteinizing hormone (LH; p=0. 03), follicle stimulating hormone (FSH; p<0. 01) and estradiol (p<0. 01) compared to those not on GnRHa. …”
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“…There was no history of easy bruisability or weight. She was not taking any medications. The patient did not smoke or use alcohol. …”
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“…Due to persistent headaches, she was taking high doses of Naproxen, which resulted in nausea and vomiting, and led to another ED visit. …”
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“…No prior exposure to stable iodine or radiation treatment. He takes no medications. He denies tobacco or alcohol use. …”
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“…We carried out the measurement of stimulated CT. Taking into account the significant CT level increase (0 min – 168 pg/ml, 2 min – 1050 pg/ml, 5 min – 857 pg/ml), we excluded the extrathyroidal CT production. …”
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“…A question on the estimated time it takes to donn and doff PPE was also included. RESULTS: 26 patients were included in the study; average age 60.8 + 13.5 years, 7 were female and 12 belonged to underrepresented minorities (Hispanic, non-Hispanic Black, or Asian); mean HbA1c was 9.2 + 2.6%. 7 patients were on intravenous insulin infusion, 6 were intubated and 5 received vasopressors. …”
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“…Given that patients are typically diagnosed in childhood, taking several medications multiple times a day can be challenging and lead to poor compliance. …”
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“…On admission, serum glucose was 29 mg/dL and patient was treated with IV dextrose with resolution of symptoms. Patient denied taking anti-hyperglycemic medications. Patient was recently and similarly admitted two weeks prior where his insulin regimen (patient confirmed compliance) was discontinued due to severe hypoglycemia. …”
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“…Upon presentation, the patient could not provide much history, but her daughter confirmed that she was in her normal state of health until 2 weeks ago when she started complaining of knee pain and stated that she was taking ibuprofen 600 mg every 8 hours for pain with good response. …”
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“…The positive rates in the age groups between 20-29 years and >84 years exceeded 2%. Taking into account the positive rate and 5819 reported cases during the period, the cases identified in the campaign might account for 7.65% (95% CI 6.47%-9.14%) of all infections. …”
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“…Destressors found were access to sunlight (P=.02) and fresh air (P<.001) during the workday and going outdoors (P<.001), taking breaks (P<.001), exercising (P<.001), and having social interactions (P<.001). …”
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“…The histological study of the stomach wall, including the metric measurements and the gastric gland development, filled the lack of detailed information about the processes taking place in more advanced periods of pregnancy (the foetal period). …”
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“…Ankle arthroscopy utilizing a traditional arthroscope is 30.7% more expensive than with the use of a nanoscope and takes longer to set up. Operating room cost per minute and room turnover time are the primary factors driving procedural cost. …”
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