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Showing posts from March, 2022

Young adult with DKA

 A 19 year old  male patient from miryalguda studying Degree first year has come to the   Opd with chief complaints of Vomiting since 3 days Shortness of breath on 24th march Chest pain on 24 th march  Hopi Patient was apparently asymptomatic one and half yr ago,then in the 1st 6 months -he noticed gradual loss of weight ,patient had history of polyuria,nocturia,polydypsia  https://nikithaedam48.blogspot.com/2021/06/18-year-old-malefrom-miryalagudawho-is.html?m=1 He was diagnosed as Diabetic and during the hospital  stay on day 5 he went to coma for 7 days, then recoverd which was due to acute fulminant hepatic failure   . And discharged after 20 days 4 months back he developed vomitings , which was projectile type , food and water as it’s content  Now , Vomiting are 2-3 episodes /day , projectile, food and water as contents non bilious and not blood tinged SOB: insidious in onset, patient feels like  it’s due to increased sugar levels and de...