An objective examination of asacol with acetonemic syndrome during a crisis reveals a weakening of heart sounds, tachycardia, arrhythmia; dry skin and mucous membranes, decreased skin turgor, decreased lacrimation; tachypnea, hepatomegaly, decreased diuresis.
A clinical blood test for acetonemic syndrome is characterized by leukocytosis, neutrophilia, accelerated ESR; urinalysis - ketonuria of varying degrees (from + to ++++). In a biochemical blood test, hyponatremia (with loss of extracellular fluid) or hypernatremia (with loss of intracellular fluid), hyper- or hypokalemia, increased levels of urea and uric acid, normal or moderate hypoglycemia can be observed.
Differential diagnosis of primary acetonemic syndrome is carried out with secondary ketoacidosis, acute abdomen (appendicitis in children, peritonitis), neurosurgical pathology (meningitis, encephalitis, cerebral edema), poisoning and intestinal infections. In this regard, the child should be additionally consulted by childrenendocrinologist, pediatric infectious disease specialist, pediatric gastroenterologist. Treatment of acetonemic syndrome.