N&V with diarrhea

Question 1

DD of N&V with diarrhea

Answer 1

DKA, Uremia, Upper UTI, lactate acidosis, 腸胃炎、胰臟炎、膽囊炎

Question 2

Uremia

Answer 2

昏迷、口中金屬味、食慾不振、抽筋、搔癢、低血壓

Question 3

Upper UTI

Answer 3

後腰痛、發燒畏寒、costovertebral angle tenderness, and nausea/vomiting

Question 4

DKA

Answer 4

昏迷、呼吸快、糖尿病、高血糖、口渴尿多、不會腹瀉、最近有感染、SGLT2(—gliflozin）

Question 5

Lactate acidosis

Answer 5

Metformin、全身疲倦、肌肉酸痛、nausea, vomiting, and diarrhea followed by altered mental status and shortness of breath.

Question 6

胰臟炎

Answer 6

90%噁心嘔吐、喝酒、之前有過胰臟炎