jdumoch Posted February 22, 2014 Share Posted February 22, 2014 Thought I'd post this on here.. I have a few ideas but thought i'd get some input. 46 y/o uninsured female presents to urgent care clinic with one episode of vomiting this morning and nausea with diffuse abdominal cramping throughout the day. Severe body aches and subjective fevers. Husband w/ GI bug 3 days ago. No recent travel or antibiotics. Pulse 90, normal BP. Exam benign- abdomen soft, contender non distended. Responds well to ODT zofran in the office. I order a urine hcg which is negative, and my MA runs a dipstick along with it and finds 2+ ketones. In house chem-8 shows mild hyponatremia, glucose 116, normal anion gap. has been eating normally the past week with no alterations in diet, and only had the one episode of vomiting. why the ketonuria? Link to comment Share on other sites More sharing options...
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