A 24-year-old woman with type 1 diabetes presents as triage level 1 with abdominal pain and Kussmaul respirations. Glucose is 540 mg/dL, pH 7.05,

Question

A 24-year-old woman with type 1 diabetes presents as triage level 1 with abdominal pain and Kussmaul respirations. Glucose is 540 mg/dL, pH 7.05, bicarbonate 6 mEq/L, potassium 5.6 mEq/L, and anion gap 30. Which of the following is the most likely diagnosis?

Accepted Answer

Diabetic ketoacidosis

Answer

Toxic alcohol ingestion as the primary diagnosis

Answer

Hyperosmolar hyperglycemic state without acidosis

Answer

Starvation ketosis

Answer

Lactic acidosis without diabetes

Diabetic ketoacidosis — ABEM Board MCQ

A 24-year-old woman with type 1 diabetes presents as triage level 1 with abdominal pain and Kussmaul respirations. Glucose is 540 mg/dL, pH 7.05, bicarbonate 6 mEq/L, potassium 5.6 mEq/L, and anion gap 30. Which of the following is the most likely diagnosis?