Diabetes Flashcards

1
Q

Choose the most appropriate answer from the list.

  • Diabetic ketoacidosis
  • Respiratory acidosis
  • Stroke
  • Respiratory alkalosis
  • Hyperosmolar non ketotic coma
  • Metabolic acidosis
  • Chronic Renal Failure
  • Metabolic alkalosis
  • Bacterial Sepsis
  • Starvation
  • Myocardial infarction
  • Hypoglycemia

A 60 year old male comes in acutely unwell for a few days and comes into A&E unconscious. He had experienced vomiting, SOB, and dehydration prior to losing consciousness. PMH includes hypertension but his current BP is 80/40. Urine dipstick is very positive for glycosuria. What is the probable diagnosis?

A

Bacterial Sepsis

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2
Q

Choose the most appropriate answer from the list.

  • Diabetic ketoacidosis
  • Respiratory acidosis
  • Stroke
  • Respiratory alkalosis
  • Hyperosmolar non ketotic coma
  • Metabolic acidosis
  • Chronic Renal Failure
  • Metabolic alkalosis
  • Bacterial Sepsis
  • Starvation
  • Myocardial infarction
  • Hypoglycemia

For case 1. the arterial blood gas is pH 7.60, PCO2 6.2 (normal 4.7-6.0) and PO2 is 17kPa. What is the acid/base abnormality?

A

Metabolic alkalosis

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3
Q

Choose the most appropriate answer from the list.

  • Diabetic ketoacidosis
  • Respiratory acidosis
  • Stroke
  • Respiratory alkalosis
  • Hyperosmolar non ketotic coma
  • Metabolic acidosis
  • Chronic Renal Failure
  • Metabolic alkalosis
  • Bacterial Sepsis
  • Starvation
  • Myocardial infarction
  • Hypoglycemia

A 12 year old male recently had a bout of pneumonia. He has also experienced symptoms of vomiting, dehydration, abdominal pain, Kussmaul breathing and confusion, and has now presented to A&E unconscious. Urine analysis shows presence of ketones. What is the likely diagnosis?

A

Diabetic ketoacidosis

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4
Q

Choose the most appropriate answer from the list.

  • Diabetic ketoacidosis
  • Respiratory acidosis
  • Stroke
  • Respiratory alkalosis
  • Hyperosmolar non ketotic coma
  • Metabolic acidosis
  • Chronic Renal Failure
  • Metabolic alkalosis
  • Bacterial Sepsis
  • Starvation
  • Myocardial infarction
  • Hypoglycemia

A 65 year old known Type 2 diabetic with poorly controlled diabetes presents with general feeling of being unwell and reduced appetite. Urine analysis is positive for protein and serum creatinine is increased. What is the likely diagnosis?

A

Chronic Renal Failure

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5
Q

Choose the most appropriate answer from the list.

  • Diabetic ketoacidosis
  • Respiratory acidosis
  • Stroke
  • Respiratory alkalosis
  • Hyperosmolar non ketotic coma
  • Metabolic acidosis
  • Chronic Renal Failure
  • Metabolic alkalosis
  • Bacterial Sepsis
  • Starvation
  • Myocardial infarction
  • Hypoglycemia

A 27 year old male was admitted unconscious to A&E at midday. Before losing consciousness, he complained with palpitations, weakness, sweating and feeling of pins and needles. The previous night, he had been out partying and had not eaten breakfast this morning. What is the likely diagnosis?

A

Hypoglycemia

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