Physiologic stress response (rarely causes glucose >200 mg/dL).P-Paraldehyde, Post-ictal lactic acidosis (transient, 60-90 min), Phenformin (withdrawn in 1970s).Stage V: Late onset of gastric and pyloric strictures (2-8 week later) ĭifferential Diagnosis Heavy metal toxicity.Stage IV: Clinical recovery, resolution of shock and acidosis usually by days 3-4.Hepatotoxicity from iron delivery via portal blood flow.Free radical damage to mitochondria disrupt oxidative phosphorylation which leads to lactic acidosis. ![]()
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