Ethylene glycol toxicity is a known cause of anion gap metabolic acidosis, with the presence of an osmolar gap and the right clinical context suggesting to the diagnosis. Rapid recognition and early treatment is crucial. Unfortunately, ethylene glycol levels are not readily available and must be performed at a reference laboratory. We present a case where recognising the significance of the 'lactate gap' assisted in identifying ethylene glycol poisoning.
Objectives: To evaluate the practical knowledge of final year medical students as it relates to care of patients with diabetes. Methods: A convenient sample of 325 students(2006)fromtheFacultyofMedicineatAl-Fateh University, Tripoli, Libya was studied.AnArabic "Short DiabetesKnowledgeTest"consistingof24multiplechoice questions(14generalquestionsand10questionsspecificto insulin-treatmentissues)wasused.Results:Themeantotal score was 76.7% [18.4/24 (range 9-24)], 71.4% [10.0/14 (range 4-10)] for the general questions and 85% [8.5/10 (range4-10)]forinsulin-treatmentrelatedquestions.The highest scores (>90% correct) were related to clinical managementissuessuchashypoglycemia,insulin-dosing, driving, and complications. Whereas, the lowest scores (<50% correct) were in four questions related to dietary education.Conclusions:Thisinformationshouldbehelpful inplanningthediabetescurriculumformedicalstudents.
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