Template:DKA clinical features: Difference between revisions
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===History===
===History===
*May be the initial presenting of an unrecognized T1DM patient
*May be the initial presenting of an unrecognized T1DM patient  
*Presenting signs/symptoms include [[altered mental status]], tachypnea, [[abdominal pain]], hypotension, decreased urine output.
*OR symptoms/signs of inciting precipitant (e.g. history of med/dietary nonadherence, signs/symptoms of infection)
*Perform a thorough neurologic exam (cerebral edema increases mortality significantly, especially in children)
*Presenting features may include:
*Assess for possible inciting cause (especially for ongoing infection; see Differential Diagnosis section)
**Polydipsia, [[polyuria]] (initially) or decreased urine output (as volume depleted)
 
**Signs of [[dehydration]] (dry mouth, dry mucosa, etc.), [[hypotension]]
===Physical===
**+/- Weight loss
*Ill appearance.
**[[Abdominal pain]], [[nausea/vomiting]]
*Acetone breath.
**[[Tachypnea]] (Kussmaul's breathing)
*Drowsiness with decreased reflexes
**Acetone or fruity smell on breath
*Tachypnea (Kussmaul's breathing)
**Generally ill-appearance
*Signs of dehydration with dry mouth and dry mucosa.
**[[Altered mental status]], drowsiness with decreased reflexes
*Perform a thorough neurologic exam as cerebral edema increases mortality significantly, especially in children
***[[Cerebral edema in DKA|Cerebral edema]] increases mortality significantly, especially in children
*There may be signs from underlying cause (eg pneumonia)

Revision as of 14:57, 31 August 2019

History

  • May be the initial presenting of an unrecognized T1DM patient
  • OR symptoms/signs of inciting precipitant (e.g. history of med/dietary nonadherence, signs/symptoms of infection)
  • Presenting features may include:
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