December 2013 critical care case of the month: I don't have a drinking problem

Abstract

No abstract available. Article truncated at 150 words. History of Present Illness A 69-year-old man was admitted to the ICU with severe nausea, abdominal pain and acute blindness. About a week prior, he suffered urinary frequency and was prescribed ciprofloxacin with a presumptive diagnosis of urinary tract infection. Over the course of the week his urinary frequency resolved, but he developed progressive nausea and vomiting, to the point that he was unable to keep any food down. Three days prior to admission he became anuric and developed diffuse lower abdominal pain. He denied fever, dysuria, cough and headache. He suffered 12 hours of intractable vomiting overnight, followed by the onset of severe photophobia with the dawn, and presented to our emergency room the following morning. PMH, SH, FH The patient is a retired police officer with a past medical history of diabetes mellitus and benign prostatic hypertrophy. The patient denied tobacco, or illicit drug use. Medications GlipizideMetformin

Keywords

• metabolic acidosis
• anion gap
• acidosis
• pH
• metformin associated lactic acidosis
• lactic acidosis
• blindness
• transient blindness
• complication
• delirium