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Diabetes
An unusual cause of pleural effusion
Department of Medicine, Kottayam Medical College, South India
Correspondence to:
Correspondence to:
Dr M J Pappachan
Department of Medicine, Kottayam Medical College, South India 686008; drpappachan@yahoo.co.in
Accepted 21 February 2006
Answers on p e19
| The first 150 words of the full text of this article appear below. |
A 72 year old man with 30 years history of type 2 diabetes mellitus who had been taking insulin for the previous 12 years was brought to the emergency department with breathlessness and lethargy of two days duration. He had diarrhoea and abdominal pain for three weeks and productive cough for one week and had omitted insulin for one week because of tiredness.
On admission he was afebrile with a pulse rate of 120 beats/min, respiratory rate 30/min, blood pressure 90/70 mm Hg and was clinically dehydrated. Mini-mental score was 7/10. Chest examination and a radiograph showed a pleural effusion on the left side. There was no other abnormality on physical examination.
His plasma glucose was 16.5 mmol/l and urine ketostix reaction was +++. Arterial blood gas analysis showed: partial pressures of oxygen and carbon dioxide 11 kPa and 3.6 kPa respectively while breathing room air; pH 7.2 and
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An unusual cause of pleural effusion
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