Template:DKA clinical features: Difference between revisions

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

Latest revision as of 15:01, 31 August 2019

  • 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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