Kussmaul Breathing in Lactic Acidosis

Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since 3 days. Recently discharged for acute colecystitis. On arrival, alert, tachypnoeic (see video), BT 37.9*C. On CT scan, abdominal abscess. BGA: severe lactic acidosis 21 mmol/L, gluc 48.

The patient had regularly taken metformin 500mg tid

Treated successfully with IV Bicarb & dialysis. Bottom line. Not every dyspnoea originates in the chest. Kussmaul breathing to compensate for metabolic acidosis

Dr. Roberto Cosentini @rob_cosentini

#Kussmaul #Breathing #Respirations #Clinical #Video #PhysicalExam
Contributed by

Dr. Gerald Diaz
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG:  https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/

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