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Cerebral edema in pediatric DKA — ABEM Board MCQ

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HardPediatric emergenciesCerebral edema in pediatric DKAABEM Board

A 10-year-old with type 1 diabetes presents as triage level 1 with DKA. After fluids and insulin, he develops headache, bradycardia, hypertension, and declining mental status. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: ACerebral edema complicating DKA

Headache, bradycardia, hypertension, and mental status decline during pediatric DKA treatment suggest cerebral edema.

Reference: ISPAD pediatric DKA guidance; ABEM EM Model