Template:DKA clinical features

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:
  • Polydipsia, polyuria (initially) or decreased urine output (as volume depleted)
  • Signs of dehydration (dry mouth, dry mucosa, etc.), hypotension
  • +/- Weight loss
  • Abdominal pain, nausea/vomiting
  • Tachypnea (Kussmaul's breathing)
  • Acetone or fruity smell on breath
  • Generally ill-appearance
  • Altered mental status, drowsiness with decreased reflexes
    • Cerebral edema increases mortality significantly, especially in children