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(ABG) A 19 year old pregnant insulin dependent diabetic patient was admitted...

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asked Apr 6, 2014 in Medicine by Rajesh Bahara

A 19 year old pregnant insulin dependent diabetic patient was admitted with a history of polyuria and thirst. She now felt ill and presented to hospital. There was a history of poor compliance with medical therapy. She was afebrile. Chest was clear. Circulation was adequate. Perioral herpes was present. Urinalysis: 2+ ketones, 4+ glucose. Biochemistry on admission: Na+ 136, K+ 4.8, Cl- 101, 'total CO2' 10, glucose 19.0, urea 8.1 and creatinine 0.09 (all biochem results in mmol/l). Arterial blood gases were collected on arrival:

pH: 7.26 pCO2: 16 mmHg pO2: 128 mmHg  HCO3: 7.1 mmol/l

What is the most likely diagnosis?

A) non-ketotic hyperosmolar coma

B) Severe hypoglycemia

C) Diabetic ketoacidosis

D) Pre-eclampsia

E) Pulmonary embolism

1 Answer

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Best answer
C) Diabetic ketoacidosis
answered Apr 6, 2014 by Rajesh Bahara

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