Template:DKA clinical features: Difference between revisions
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===Physical=== | ===Physical=== | ||
*Drowsiness | *Ill appearance. | ||
*Acetone breath. | |||
*Drowsiness with decreased reflexes | |||
*Tachypnea (Kussmaul's breathing) | *Tachypnea (Kussmaul's breathing) | ||
*Signs of dehydration | *Signs of dehydration with dry mouth and dry mucosa. | ||
*Perform a thorough neurologic exam as cerebral edema increases mortality significantly, especially in children | *Perform a thorough neurologic exam as cerebral edema increases mortality significantly, especially in children | ||
*There may be signs from underlying cause (eg pneumonia) | *There may be signs from underlying cause (eg pneumonia) | ||
Revision as of 07:21, 24 November 2016
History
- May be the initial presenting of an unrecognized T1DM patient
- Presenting signs/symptoms include altered mental status, tachypnea, abdominal pain, hypotension, decreased urine output.
- Perform a thorough neurologic exam (cerebral edema increases mortality significantly, especially in children)
- Assess for possible inciting cause (especially for ongoing infection; see Differential Diagnosis section)
Physical
- Ill appearance.
- Acetone breath.
- Drowsiness with decreased reflexes
- Tachypnea (Kussmaul's breathing)
- Signs of dehydration with dry mouth and dry mucosa.
- Perform a thorough neurologic exam as cerebral edema increases mortality significantly, especially in children
- There may be signs from underlying cause (eg pneumonia)