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Diabetic Emergencies

Andjela Drincic M.D.

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Case Presentation Pt is a 32yo female with a hx of type 1

DM who presents with a cc of N/! anddiff"se a#dominal pain for 2$ ho"rs

%hat other &"estions wo"ld yo" li'e toas'

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Diabetic Emergencies

Case Presentation Pt denies (/C! )*+ symptoms! "rinary

symptoms except for fre&"ency

Pt also states that she has #een "sin,her ins"lin correctly! #"t she had notta'en any ins"lin for the last 2$ ho"rs#eca"se she wasn-t a#le to eatanythin,

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Diabetic Emergencies

Case Presentation PMx Dia,nosed with DM after episode of

D0A approx years a,o.

Meds +ns"lin /3 2)&AM! 14)&PMN0MA

5x 5in,le! no children! 678 9o# 1ppd for 12years! occ :t; "se! no recreational dr",s

(x 678 9N%hat are pertinent findin,s on physical

exam

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Diabetic Emergencies

Physical :xam=en Mild distress #"t A>; x 3

?.$! 12! 3$! 132/

::N9 %N@

eart ** @"n,s C9AB

A#d 678 B5! diff"se tenderness! no

re#o"nd :xt %N@ Ne"ro %N@

%hat @a# Data wo"ld yo" li'e to o#tain

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Diabetic Emergencies

Case Presentation @a# Data

%BC 1.! / 1/$ Plt 22?

NA 132! 0 .2! C@ ?4! C; 11! B)N 1!Cr 1. =l"cose 412! Ca 12.1! Phos 4.4!M, 2.1

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Case Presentation @a# Data Analysis

NA 132! 0 .2! C@ ?4! C; 11! B)N 1!Cr 1. =l"cose 412! Ca 12.1! Phos 4.4!M, 2.1

%hat is the anion ,ap