Retrospective analytical study of ketonuria in patients attending tertiary care hospital
Abstract
Introduction: The ketonuria usually occurs in it’s a severe form as a complication of diabetic keto acetosis. The occurrence of ketonuria is not however confined to diabetic persons alone. The non diabetic keto acetosis may threaten life and also require effective diagnosis treatment especially in children and young persons. In adults the non diabetic ketonuria is rare and seen in conditions like starvation, severe dehydration, vomiting, diarrhea, fever, weight reduction, thyrotoxicosis and in certain severe metabolic disorders. Aim of the study: The observation of the study and understanding of the value urinary ketonuria in relation to various conditions and its prevalent in identifying the patient under risk. That is in both diabetic and non diabetic, both sexes, both children and adults. Material and methods: Estimation of urinary ketone bodies by means of commercially available ketone
bodies urinary dipstick which reacts by sodium nitroprusside method and also the positive cases are counter checked by means of manual urinary sodium nitroprusside test for ketone bodies. Dipstick is associated with considerable risk of false positive and false negative when some drugs are present in the urine or dipstick is exposed to air for longer time. Observation and Discussion: In our study, Majority of cases faces between the age group 20-60 yrs (85% of which more than 31% of the cases between age group of 40-50 years. And sex wise more than 58% of cases are females and males 42% Paediatric age group less than 12 years is 7% of which females constitutes 5 cases females and 3 cases of males. Out of 87 cases post surgical cases constitutes 13 cases and fever cases constitutes 31. out of 8 cases of pediatric age group 6 of them are fever with dehydration and 2 cases are with gastritis with vomiting. Out of 87 cases, 28 cases are diabetic and rest of them are non diabetic patients. All the 8 paediatric cases are presenting ketonuria are non diabetic.
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