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Document Details :

Title: Een vrouw met achteruitgang van de algemene toestand 4 weken na een enkelfractuur
Author(s): VANTROYEN B, DE BAETSELIER H
Journal: Tijdschrift voor Geneeskunde
Volume: 64    Issue: 14-15   Date: 2008   
Pages: 739-741
DOI: 10.2143/TVG.64.14-15.2000362

Abstract :
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A woman with clinical deterioration 4 weeks after a fractured ankle
This case report describes the clinical deterioration of a female patient 4 weeks after a fractured ankle. It is intended as a teaching article for young medical doctors. First it describes the clinical condition of the patient, leading to a critical illness, and emphasizes the importance of bloodgas analysis in those patients. The deterioration of the patient was due to an acute renal insufficiency provoked by non steroidal inflammatory drugs in a patient with chronical renal impairment. A lactate acidosis due to metformin complicated the clinical presentation.

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