PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 67, No. 4, AUGUST 2017

A YOUNG GIRL WITH EPIGASTRIC PAIN AND EPISODIC GENERALIZED MOTOR WEAKNESS: A CASE REPORT

Munnam Sohail Jafar, Ahmad Malik, Choudhary Naim Muhammad

Abstract

A young female presented with epigastric pain, scant vomiting and generalized weakness. Ultrasound abdomen was normal. Serum lipase and amylase were raised. Arterial blood gases (ABGs) revealed metabolic acidosis, electrocardiogram (ECG) showed U-waves, serum potassium was 2.1, urine pH and urinary sodium were 6 and 82 mEq/L respectively and urine anion gap was raised. A diagnosis of distal renal tubular acidosis and acute pancreatitis was made. She was made pain free and nil per os (NPO) was ordered. For her renal tubular acidosis she was given intravenous potassium citrate followed by sodium bicarbonate. The patient got clinically improved and was then discharged home on oral potassium citrate.

Keywords : Acute pancreatitis, Hypokalemia, Renal tubular acidosis.



Creative Commons License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.