A boy of 12 years presented with vomiting of several times for 7 days. On enquiry he reported to have polyuria and polydepsia for 1 month.
His father is a NIDDDM.
On physical examination, he was found apprehended, lethargic and emaciated. His ht is alright but the weight is less.
He was dehydrated and had mild acidotic breathing. His pulse was rapid and Bp was 90/50 mmHg. His other system was found normal.
On investigation his urine shows 4+ glucose. His random blood sugar was found 298mg/dl. Fasting blood sugar was 228 mg/dl.. In blood gas analysis PH was 7.18 and HCO3 was 19, pCO2, pO2, SaO2 were und normal, in serum electrolytes Na was 133 mmol/L and K 3.6 mmol/L, others optimum. Serum creatinn was found normal . His urine for ketone bodies was positive.
The case was diagnosed as a case of Diabetic Ketoacidosis.
The patient was given fluid, Insulin, potassium, antibiotic and diabetic diet.
Patient after becoming stable , transfer under care of a diabetologist.
Badrud Doza
1 comment:
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