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Clinics and Practice
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10.4081/cp.2011.e21
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Supratherapeutic International Normalized Ratio: An Indicator of Chronic Malnutrition Due to Severely Debilitating Gastrointestinal Disease

by
Sarwan Kumar
1,*,
Deepak Gupta
2 and
Shiva S. Rau
1
1
Department of Internal Medicine, Wayne State University/Detroit Medical Center, MI, USA
2
Department of Anesthesiology, Wayne State University/Detroit Medical Center, MI, USA
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(2), e21; https://doi.org/10.4081/cp.2011.e21
Submission received: 14 March 2011 / Revised: 14 March 2011 / Accepted: 11 April 2011 / Published: 19 April 2011

Abstract

This case highlights the fact that Supratherapeutic INRs direct the attention of the treating physicians’ team to the underlying severely debilitating gastrointestinal diseases. Prolonged fasting or starvation reduces vitamin K levels. Such patients are more sensitive to treatment with Vitamin K antagonist-based anticoagulants. Hence, the Supratherapeutic INR can be an objective indicator of chronic loss of appetite with poor nutritional status of the patient and therefore acts as a warning sign for diagnosis of severe debilitating primary gastrointestinal disease.
Keywords: Supratherapeutic INRs Supratherapeutic INRs

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MDPI and ACS Style

Kumar, S.; Gupta, D.; Rau, S.S. Supratherapeutic International Normalized Ratio: An Indicator of Chronic Malnutrition Due to Severely Debilitating Gastrointestinal Disease. Clin. Pract. 2011, 1, e21. https://doi.org/10.4081/cp.2011.e21

AMA Style

Kumar S, Gupta D, Rau SS. Supratherapeutic International Normalized Ratio: An Indicator of Chronic Malnutrition Due to Severely Debilitating Gastrointestinal Disease. Clinics and Practice. 2011; 1(2):e21. https://doi.org/10.4081/cp.2011.e21

Chicago/Turabian Style

Kumar, Sarwan, Deepak Gupta, and Shiva S. Rau. 2011. "Supratherapeutic International Normalized Ratio: An Indicator of Chronic Malnutrition Due to Severely Debilitating Gastrointestinal Disease" Clinics and Practice 1, no. 2: e21. https://doi.org/10.4081/cp.2011.e21

APA Style

Kumar, S., Gupta, D., & Rau, S. S. (2011). Supratherapeutic International Normalized Ratio: An Indicator of Chronic Malnutrition Due to Severely Debilitating Gastrointestinal Disease. Clinics and Practice, 1(2), e21. https://doi.org/10.4081/cp.2011.e21

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