A 58-year-old woman presents with polyuria, polydipsia, confusion, and abdominal pain. Blood glucose is 35 mmol/L, venous pH 7.15, bicarbonate 8

Question

A 58-year-old woman presents with polyuria, polydipsia, confusion, and abdominal pain. Blood glucose is 35 mmol/L, venous pH 7.15, bicarbonate 8 mmol/L, and serum ketones 5.5 mmol/L. She has known type 2 diabetes on metformin and gliclazide. What is the most likely diagnosis?

Accepted Answer

Diabetic ketoacidosis

Answer

Alcoholic ketoacidosis

Answer

Starvation ketosis

Answer

Hyperosmolar hyperglycaemic state

Answer

Lactic acidosis

DKA — RACP Adult Medicine MCQ

A 58-year-old woman presents with polyuria, polydipsia, confusion, and abdominal pain. Blood glucose is 35 mmol/L, venous pH 7.15, bicarbonate 8 mmol/L, and serum ketones 5.5 mmol/L. She has known type 2 diabetes on metformin and gliclazide. What is the most likely diagnosis?