jump to navigation

Retching Patient With Diabetes June 12, 2014

Posted by Andy Jagoda, MD in : Hematologic/Allergic/Endocrine Emergencies , trackback

June’s Case: You walk into a busy Monday evening shift, and one of the nurses asks you to see a patient who has been waiting for several hours. The nurse states that the 26-year-old woman is sleepy, with a heart rate of 126 beats/min. He advises you that the patient has diabetes, for which she has been medically compliant by taking her insulin. The patient stated that she had not been feeling well for a few days, after which she developed fever, nausea, and vomiting. As you enter the room, you observe the patient retching. You note her respiratory rate is 32 breaths/min, her heart rate is 124 beats/min, and that her blood pressure is 88/50 mm Hg. You start considering your differential and wonder if this presentation is due to her diabetes or if there is something else you might be missing.

Share your diagnosis in the comments box below — The case conclusion will be revealed on June 16!

Not a current subscriber and want more? Learn more about a subscription.

Comments»

no comments yet - be the first?

All comments are held for approval.



About EB Medicine:

Products:

Accredited By:

ACCME ACCME
AMA AMA
ACEP ACEP
AAFP AAFP
AOA AOA
AAP AAP

Endorsed By:

AEMAA AEMAA
HONcode HONcode
STM STM

 

Last Modified: 07-16-2019
© EB Medicine