A 7-year-old presents with polyuria, weight loss and abdominal pain. HR is 142, RR is 34 with deep respirations, glucose is 28 mmol/L, pH is 7.08,

Question

A 7-year-old presents with polyuria, weight loss and abdominal pain. HR is 142, RR is 34 with deep respirations, glucose is 28 mmol/L, pH is 7.08, bicarbonate is 6 mmol/L, and beta-hydroxybutyrate is high. What is the most likely diagnosis?

Accepted Answer

Diabetic ketoacidosis

Answer

Sepsis without metabolic derangement

Answer

Hyperosmolar hyperglycaemic state

Answer

Viral gastroenteritis

Answer

Salicylate poisoning

Paediatric diabetic ketoacidosis — RCPSC EM MCQ

A 7-year-old presents with polyuria, weight loss and abdominal pain. HR is 142, RR is 34 with deep respirations, glucose is 28 mmol/L, pH is 7.08, bicarbonate is 6 mmol/L, and beta-hydroxybutyrate is high. What is the most likely diagnosis?