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2016

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Euglycemic Diabetic Ketoacidosis In A 27 Year-Old Female Patient With Type-1-Diabetes Treated With Sodium-Glucose Cotransporter-2 (Sglt2) Inhibitor Canagliflozin, Nimrah Bader, Lubna Mirza Jan 2016

Euglycemic Diabetic Ketoacidosis In A 27 Year-Old Female Patient With Type-1-Diabetes Treated With Sodium-Glucose Cotransporter-2 (Sglt2) Inhibitor Canagliflozin, Nimrah Bader, Lubna Mirza

Medical College Documents

We are reporting a timely case of atypical euglycemic diabetic ketoacidosis in a type 1 diabetic patient treated with sodium-glucose cotransporter-2 (SGLT-2) inhibitor canagliflozin. The clinical history, physical examination findings and laboratory values are described. Other causes of acidosis such as salicylate toxicity or alcohol intoxication were excluded. Ketoacidosis resolved after increasing dextrose and insulin doses supporting the hypothesis that SGLT-2 inhibitors may lead to hypoinsulinemia. Euglycemic ketoacidosis did not recur in our patient after discontinuing canagliflozin. We recommend reserving SGLT2 inhibitor therapy to type 2 diabetics, discontinuing medication and treating patients presenting with ketoacidosis due to SGLT-2 inhibitors with …

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Genomic Imbalances In Peripheral Blood Confirm The Diagnosis Of Myelodysplastic Syndrome In A Patient Presenting With Non-Immune Hemolytic Anemia, Mohammad Faizan Zahid, Nadia Khan, Jianming Pei, Joseph R. Testa, Essel Dulaimi Jan 2016

Genomic Imbalances In Peripheral Blood Confirm The Diagnosis Of Myelodysplastic Syndrome In A Patient Presenting With Non-Immune Hemolytic Anemia, Mohammad Faizan Zahid, Nadia Khan, Jianming Pei, Joseph R. Testa, Essel Dulaimi

Medical College Documents

Myelodysplastic syndrome (MDS) is a clonal stem-cell disorder characterized by dyshematopoiesis. We report a patient who presented with cytopenias and microangiopathic hemolytic anemia. Chromosome microarray analysis (CMA), using single nucleotide polymorphism arrays, on peripheral blood revealed genomic imbalances indicative of MDS, which was confirmed by bone marrow examination. This report highlights the importance of suspecting MDS in patients with cytopenias and microangiopathic hemolytic anemia. CMA of peripheral blood may assist in the preliminary diagnosis of MDS, representing a comparatively less invasive diagnostic procedure and may aid bone marrow evaluation when an aspirate sample is insufficient for conventional cytogenetic analysis.

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Depression And Anxiety: A Snapshot Of The Situation In Pakistan, Bilaal Ahmed, Syed Faaiz Enam, Zafar Iqbal, Ghulam Murtaza, Shahid Bashir Jan 2016

Depression And Anxiety: A Snapshot Of The Situation In Pakistan, Bilaal Ahmed, Syed Faaiz Enam, Zafar Iqbal, Ghulam Murtaza, Shahid Bashir

Medical College Documents

Background: Depression is a great cause of morbidity around the world. Not one person seems to escape the hollow dread that the disease can bring forth.
Aims: Although living in a large extended family which serves as a social support is common in Pakistan, why we still suffer from anxiety and depression just as often if not more than those in other countries?
Method: We checked studies conducted in different localities of Pakistan over the past 10 years to find prevalence values of anxiety and depression. Results: The values of anxiety and depression ranging from 22% to as high as …

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