DKA TYPE 1 DM

 32 M , autodriver pt presented to casuality with SOB grade 2-3 since 2 days , vomitings since 2 days

Pt was apparently asymptotic 6 years back 

Pt c/o polyuria , polyphagia and went to KIMS for evaluation and diagnosed with DM type 1 and started on insulin mixed 25U—-X—25U and shifted to insulin 20U—-X——20U since 4 years 

HOPI - since 2 days pt c/o vomiting 3-4 episodes / day , associated with food particles not associated with bile , blood , associated with abdominal pain , squeezing type   Relived after vomiting ,associated with SOB grade 2-3 , no organomegaly , no PND 

No c/o loose stools , constipation, burning micturation 

No c/o chest pain , palpitations , syncopal attacks 

No c/o abdominal distension , pedal edema 

H/o Dm 1, since 7 years 

No H/o HTN, CUA, CAD , TB , Asthama , epilepsy 

No H/o abdominal pain 

No similar complaints initially at the time of presentation 

O/E : pt is c/c/c 

Temp: 99.8 F 

Pulse : 102 bpm

Bp- 140/80mmhg 

Spo2: 98%

GRBS: 480mg%


Ketones : POSITIVE

  



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