Spotter of the week

27 DEC 2014

What Renuka Says Spotter Series ...

Dr Sabeer Mohamed, MEM Y-III
15 year old boy came with c/o vomiting ,abdominal pain
vitals
SPO2 98%
RR 40/MIN
HR 110
BP 110 /70mmHg
Temp 102.1F
GRBS -HIGH

 
INTERPRETATION?
- Primary metabolic acidosis,
- increased anion gap,
- superimposed respiratory alkalosis

 
Diagnosis of DKA -
pH <7.3
blood glucose level >250 mg/dl
anion gap >10
bicarbonate level <15 mEq/L
ketonemia  
 
 

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