title: Case records of the Massachusetts General Hospital. Case 23-2013. A 54-year-old woman with abdominal pain, vomiting, and confusion.
authors.affiliation: Department of Medicine, University of California, Irvine, Orange, USA.
authors.forename: Kamyar
authors.initials: K
authors.lastname: Kalantar-Zadeh
authors.forename: Raul N
authors.initials: RN
authors.lastname: Uppot
authors.forename: Kent B
authors.initials: KB
authors.lastname: Lewandrowski
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000140:Acidosis, Lactic / Q000139:chemically induced / Q000175:diagnosis*; D003221:Confusion / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007668:Kidney / Q000000981:diagnostic imaging / Q000473:pathology; D019344:Lactic Acid / Q000097:blood*; D008687:Metformin / Q000009:adverse effects* / Q000627:therapeutic use; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D010195:Pancreatitis / Q000139:chemically induced / Q000175:diagnosis; D051436:Renal Insufficiency, Chronic / Q000150:complications; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014839:Vomiting / Q000209:etiology
chemical_list: D019344:Lactic Acid; D008687:Metformin