This thread will be about the management of diabetic ketoacidosis and high yield information about it in internal medicine MCQs.
Three major points of this condition:
1. Metabolic acidosis >> impaired renal bicarbonate reabsorption.
2. Hyperglycemia.
3. Ketosis >> increased fatty acid breakdown.
The anion gap will usually be higher than normal so DKA is a type of anion gap metabolic acidosis. There are three stages of acidemia ranging from mild to severe, but details are not going to be in this thread.
So why does this happen? Main causes:
1. Lack of insulin or inadequate insulin.
2. Medication non-compliance.
3. Anything that could trigger it like INFECTION. Suspect in a patient with symptoms of DKA + high fever and other focal symptom. Eg: fever + cough = pneumonia.
Etc...
You can follow @NoraOnly.
Tip: mention @twtextapp on a Twitter thread with the keyword “unroll” to get a link to it.

Latest Threads Unrolled: