Excessive milk intake may lead to diabetic ketoacidosis and acute pancreatitis. A 55‐year‐old milk salesperson with diabetes and dyslipidemia presented with a 5‐day history of fatigue and thirst. The patient had drunk a large amount of milk for 2 months prior to the admission. Laboratory data showed metabolic acidosis, hyperglycemia, ketonuria, hypertriglyceridemia, and elevated serum amylase. Abdominal CT with contrast material revealed the swelling of the pancreas. The patient received medical treatment for diabetic ketoacidosis and acute pancreatitis and was discharged uneventfully on day 18. Dietary advice for diabetics should include the avoidance of excessive amount of milk.

An 80-year-old man with a previous history of a transurethral resection of bladder cancer presented with a 7-day history of swelling of the left lower extremity. Doppler echography showed deep vein thrombosis and the patient received anticoagulation therapy along with elastic stockings. Ten days later he developed swelling of the bilateral lower ex-

Ambulatory care sensitive conditions (ACSCs) are those conditions for which interventions in primary care could prevent outpatients from hospitalization. 1,2 Emergency admissions for ACSCs are a key marker of quality of primary care and are used nationwide in some countries including the United Kingdom (UK) and Victoria state in Australia. 3,4 It is true that healthcare system is complex and not all the factors that cause hospitalization are under direct primary care provider's control. 5-7 Some of these factors have little relations with quality of primary care (eg, cultural background, patient's age) and can be the limitations of ACSCs. 5,7 On the other hand, some of