A 79-year-old woman with type 2 diabetes is admitted after 5 days of thirst, confusion and reduced intake. Glucose is 43 mmol/L, osmolality 342

Question

A 79-year-old woman with type 2 diabetes is admitted after 5 days of thirst, confusion and reduced intake. Glucose is 43 mmol/L, osmolality 342 mOsm/kg, ketones 0.8 mmol/L, pH 7.36 and sodium is 151 mmol/L. Chest radiograph shows right lower-zone pneumonia. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Severe hypoglycaemia with rebound hyperglycaemia

Answer

Primary hyperaldosteronism

Answer

Central diabetes insipidus

Answer

Diabetic ketoacidosis

Hyperosmolar hyperglycaemic state — SCE Endocrinology MCQ

A 79-year-old woman with type 2 diabetes is admitted after 5 days of thirst, confusion and reduced intake. Glucose is 43 mmol/L, osmolality 342 mOsm/kg, ketones 0.8 mmol/L, pH 7.36 and sodium is 151 mmol/L. Chest radiograph shows right lower-zone pneumonia. What is the most likely diagnosis?