| Introduction
Case
1: Dysuria
Case
2: Flu
Case
3: Edema
Case
4: Puffy eyes
Case
5: Hematuria
Case
6: Flank pain
Case
7: Jaundice
Case
8: Fever & pain
Leftovers
Sources
of Error
Quiz
Please |
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Jennifer
has diabetes and she's in ketoacidosis.
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Believe it or not, this is the
way most juvenile diabetics present.
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Overt ketoacidosis, presenting
with flu-like symptoms.
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Kussmaul breathing.
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Fruity odor to her breath.
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Ketones are "boiling off" in
the lungs.
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Note the low pH of the urine.
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Large amount of glucose.
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Large amount of ketones.
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One must be careful so as not
to precipitously drop her serum sugar. Treat her yes, but don't drive it
through the floor.
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CNS sugars are still
high and will serve as an osmotic drawing force, causing cerebral edema.
|
 |
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With today's closer monitoring,
it is hoped to avoid the long-term renal problems of diabetes. Here's an
example of diabetic nephropathy that
may develop later.
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This is the kind of stuff
that's hard to deal with, but it's real life. Next
case? Back |