What is the role of imaging studies in the workup of alcoholic ketoacidosis (AKA)?

Updated: Aug 27, 2020
  • Author: George Ansstas, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Because of the high risk of aspiration pneumonia in people with alcoholism, consider obtaining a chest radiograph. Esophageal rupture may occur with prolonged retching, resulting in pneumomediastinum or in subdiaphragmatic air.

Consider obtaining an urgent abdominal series in patients with significant vomiting and abdominal pain. These symptoms may indicate obstruction, perforation of a viscus, and/or pancreatitis.


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