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10.1155/2018/4273971 http://scihub22266oqcxt.onion/10.1155/2018/4273971 C6008881!6008881 !29973999     free     free     free Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29973999 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       Case+Rep+Crit+Care 2018 ; 2018 (ä): 4273971 Nephropedia Template TP {{tp|p=29973999 |t=2018. Central Pontine Myelinolysis in Pediatric Diabetic Ketoacidosis |pdf=|usr=}}{{29973999 }} gab.com Text Central Pontine Myelinolysis in Pediatric Diabetic Ketoacidosis JO: Case Rep Crit Care http://www.kidney.de/pget.php?&tw=1&pmid=29973999 #FOAvip Central pontine myelinolysis (CPM) is rarely reported in pediatric patients with diabetic ketoacidosis (DKA). We report this case of a 16-year-old female with new onset diabetes presenting with DKA, who received aggressive fluid resuscitation and sodium bicarbonate in the emergency department. Later she developed altered mental status concerning for cerebral edema and received hyperosmolar therapy with only transient improvement. Soon she became apneic requiring emergent endotracheal intubation. MRI brain showed cerebral edema, CPM, and subdural hemorrhage. She was extubated on day seven and exhibited mild dysmetria, ataxia, unilateral weakness, and neglect. Upon discharge she was able to ambulate with a walker and speak and eat without difficulty. Although less common than cerebral edema, CPM should be considered in DKA patients with acute neurologic deterioration. Fluid and bicarbonate therapy should be individualized, but larger studies would help guide the management. Although poor outcomes are reported in CPM, favorable outcomes are possible. Twit Text FOAVip Central Pontine Myelinolysis in Pediatric Diabetic Ketoacidosis ????Case Rep Crit Care http://www.kidney.de/pget.php?&tw=1&pmid=29973999 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29973999 #FOAvip English Wikipedia <ref>{{Cite pmid|29973999 }}</ref> Central Pontine Myelinolysis in Pediatric Diabetic Ketoacidosis #MMPMID29973999 Kinoshita H ; Grant L ; Xoinis K ; Purohit PJ Case Rep Crit Care 2018[]; 2018 (ä): 4273971 PMID29973999 show ga Central pontine myelinolysis (CPM) is rarely reported in pediatric patients with diabetic ketoacidosis (DKA). We report this case of a 16-year-old female with new onset diabetes presenting with DKA, who received aggressive fluid resuscitation and sodium bicarbonate in the emergency department. Later she developed altered mental status concerning for cerebral edema and received hyperosmolar therapy with only transient improvement. Soon she became apneic requiring emergent endotracheal intubation. MRI brain showed cerebral edema, CPM, and subdural hemorrhage. She was extubated on day seven and exhibited mild dysmetria, ataxia, unilateral weakness, and neglect. Upon discharge she was able to ambulate with a walker and speak and eat without difficulty. Although less common than cerebral edema, CPM should be considered in DKA patients with acute neurologic deterioration. Fluid and bicarbonate therapy should be individualized, but larger studies would help guide the management. Although poor outcomes are reported in CPM, favorable outcomes are possible. äCentral Pontine Myelinolysis in Pediatric Diabetic Ketoacidosis (epmc).pdf DeepDyve Pubget Overpricing