TABLE 2041 Common Symptoms and Signs in Alcoholic Ketoacidosis

There are no specific physical findings associated solely with AKA. The most common findings are tachycardia, tachypnea, and diffuse, mild to moderate abdominal tenderness. Volume depletion resulting from anorexia, diaphoresis, and vomiting causes the frequently seen tachycardia and hypotension. Most patients are awake at presentation. Mental status changes in patients with ketoacidosis should alert clinicians to other potential causes, such as toxic ingestion, hypoglycemia, alcohol-withdrawal seizures, postictal state, or unrecognized head injury.

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