ketonuria


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ketonuria

[‚kēd·ə′nu̇r·ē·ə]
(medicine)
Presence of ketone bodies in the urine.
McGraw-Hill Dictionary of Scientific & Technical Terms, 6E, Copyright © 2003 by The McGraw-Hill Companies, Inc.
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The persistent ketonuria even with her seemingly normal feeding in our case patient #3 is the best demonstration of her "glucose hunger" and insulin insufficiency, indicating that she was on the verge of ketoacidosis all those times.
Though half of diabetes patients need insulin eventually for optimal control, historically it has been introduced late in the disease process unless patients have severe hyperglycemia (fasting blood sugar >350 mg/dL) or ketonuria. (38) However, it is effective in gaining initial control, decreasing gluconeogenesis and increasing glucose uptake.
Approximately two percent of all pregnancies are complicated by hyperemesis gravidarum, a condition characterised by intractable nausea and vomiting, fluid and electrolyte imbalances, ketonuria, weight loss, nutritional deficiencies and in some instances neurologic disturbances and liver or renal abnormalities (1-3).
The first step is to have the child fast until ketonuria occurs.
Laboratory studies showed hypokalaemia (K 2.51mmol/L), hyponatraemia (Na 122.1mmol/L, Cl 84mmol/L), and hypoproteinaemia (ALB 27.5g/L), a normal leukocyte count, normal TSH and FT4, FT3, increased levels of transaminases and ketonuria. She was negative for hepatitis A, B, C and E.
The condition is aggravated even after continuous insulin infusion, resulting in vomiting, and leading to significant acidosis, ketonuria, and hyperglycaemia.
Urine analysis revealed bilirubinuria (+ ++), glucosuria (++), proteinuria (++), ketonuria (++++), isosthenuria and acidic urine pH.
This record should include blood glucose readings insulin dosage record of special circumstances like illness eat- ing out exercise any episode of hypoglycemia and its severity and any episode of ketonuria or ketonemia.
(13,22-24) Since these patients ingest grossly inadequate diets, ketonuria is a rather common finding.
Methylmalonic aciduria: an inborn error leading to metabolic acidosis, long-chain ketonuria and intermittent hyperglycinemia.
700 Oakland, CA 94612-2603 (800) 934-2873 (info line) (510) 839-9777 (510) 839-9779 (fax) * nbtf@braintumor.org http://www.braintumor.org 1,2,3,4,6,8 BRANCHED CHAIN KETONURIA See: Maple Syrup Urine Disease BRANCHER DEFICIENCY See: Glycogen Storage Diseases BRANCHIO-OTO-RENAL SYNDROME See: Craniofacial Disorders; Hearing Impairments; Kidney Disorders BRITTLE BONE DISEASE See: Osteogenesis Imperfecta BROAD THUMB-HALLUX SYNDROME See: Rubinstein-Taybi Syndrome BURKE SYNDROME See: Shwachman Syndrome BURNS Phoenix Society for Burn Survivors 1840 Wealthy SE Ste.
Admission laboratory tests were normal except for moderate ketonuria.