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Cleveland Clinic Journal of Medicine

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June 01, 2007; Volume 74,Issue 6
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  1. Kumar, Ajay

    1. A 58-year-old woman with mental status changes
      You have access
      A 58-year-old woman with mental status changes
      Mihir R. Bakhru, MD, Ajay Kumar, MD and Ashish Aneja, MD
      Cleveland Clinic Journal of Medicine June 2007, 74 (6) 457-462;

      Thirty years ago she underwent gastric bypass surgery for obesity. Now she presents with mental status changes, a bicarbonate level of 16 mmol/L, and an anion gap of 15. What is the most likely cause of her acidosis?

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In this issue

Cleveland Clinic Journal of Medicine: 74 (6)
Cleveland Clinic Journal of Medicine
Vol. 74, Issue 6
1 Jun 2007
  • Table of Contents
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  • Editor's Picks
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  • Meta-analysis: Its strengths and limitations
  • Primary angiitis of the central nervous system: diagnostic criteria and clinical approach
  • The essential role of exercise in the management of type 2 diabetes
  • Role of uric acid in hypertension, renal disease, and metabolic syndrome
  • Physical and social impact of alpha 1-antitrypsin deficiency: results of a survey
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