Starvation Ketoacidosis

Etiology

  • xxx

Physiology

  • Accumulation of Ketones Generated by Metabolism of Free Fatty Acids

Diagnosis

  • Anion Gap: usually >20
  • Osmolal Gap: increased
  • Serum Ketones: positive
  • Serum Potassium: normal (ketoacidosis does not cause hyperkalemia)

Clinical Manifestations

Neurologic Manifestations

  • xxxx

Renal Manifestations

Anion Gap Metabolic Acidosis (AGMA) (see Metabolic Acidosis-Elevated Anion Gap, [[Metabolic Acidosis-Elevated Anion Gap]])

  • Diagnosis
    • Delta Gap/Delta Bicarbonate Ratio: usually 1.1

Ketoacidosis

  • xxx

Elevated Osmolal Gap (see Serum Osmolality, [[Serum Osmolality]])

  • Physiology: increased (due to presence of osmotically-active, acetone)

Other Manifestations

  • xxx
  • xxx

Treatment

  • Nutritional Support

References

  • xxx