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Office of Education
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Dawn Russo: QuestionsWhat is the most likely diagnosis? What is the differential diagnosis of an anion gap metabolic acidosis? What urgent/emergent treatment should this patient receive? You send serum ketones and the result is 1:16 dilution. Hours later the patient looks better clinically but her ketone level is 1:64. How do you explain this? Whatıs the best way to follow this patientıs acid/base status? What hormonal mileu is ketogenic? Why do you think this patient developed ketoacidosis? What are some precipitating causes of DKA? Is there any role for intravenous bicarbonate therapy in this patient? Are you concerned about the patientıs elevated serum K+ and phosphate? Explain.  |
