Diabetic Coma in a Boy

Diabetic amyotrophy in a teenage boy.

CASE REPORT. A 16-year old boy was admitted following an overdose of 48 tablets of diclofenac 100 mg, 20 tablets of codeine phosphate 30 mg and 40 tablets of paracetamol 500 mg. He was alert and felt well on admission. General examination was normal. His serum paracetamol level on arrival was 34 mg/I, which did not justify treatment with acetyl cysteine. Serum sodium, potassium and urea were no...

The "third coma" in diabetes: diabetic coma without ketoacidosis.

THE COMPLEXITIES of the diabetic syndrome are underlined by the fact that diabetic coma may occur without obvious ketoacidosis. The position has recently been summarised in a leading article in the British Medical Journal (1965). To the first two comas met with in diabetes, namely diabetic coma with ketosis and hypoglycaemic coma due to excess insulin, must then be added a third type of coma. T...

A Case of Diabetic Coma with Lipæmia

consists of two cases mentioned by Dr Gamgee, and one by Dr Foster of Birmingham, which do not altogether support the theory, and of a case published by Dr Starr of Philadelphia, in which, on the other hand, the theory is amply confirmed by the demonstration of post-mortem appearances very closely resembling those described by Sanders and Hamilton. The statement of Dr Babbington in 1836, that t...

The management of diabetic coma.

Reinterpretation of hyperamylasemia in diabetic coma.

Serum enzyme activity was sequentially determined in 10 consecutive patients with diabetic ketoacidosis, of whom all had increased -glucuronidase activity, eight had increased amylase activity, and four had increased acid phosphatase activity. Activity of amylase and that of the two lysosomal enzymes were poorly correlated, irrespective of whether peak activities or activities of all samples we...