Round 1 of 8
Hospital Teaching Rounds
PA
PA presents the patient
Attending, I’d like to discuss a 25-year-old woman in the emergency department. She has nausea, vomiting and abdominal pain for 2 hours. She has no fever, chills, diarrhea or recent travel. She reports increased thirst and progressive weight loss for the past year despite eating three meals a day. She appears pale, weak and diaphoretic. BP 100/65, HR 115, RR 30, temperature 100.1°F, O₂ 96%, finger-stick glucose 390.
Glucose
410 mg/dLBicarbonate
12 mEq/LAnion gap
21β-hydroxybutyrate
8 mmol/LSodium
128 mEq/LPotassium
6 mEq/LChloride
95 mEq/LBUN
35 mg/dLCreatinine
1.9 mg/dLBilirubin
NormalLiver enzymes
NormalLipase
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