Diabetic ketoacidosis (dka) during pregnancy is a serious complication in both mother and fetus most incidences occur during late pregnancy in women with type 1 diabetes mellitus we report the rare case of a woman with type 1 diabetes mellitus who had normal glucose tolerance during the first trimester but developed. Secondary diabetes mellitus is known to occur in acromegaly due to insulin resistance caused by growth hormone excess however, diabetes in acromegaly usually does not lead to ketosis we describe an unusual case of a patient that presented with diabetic ketoacidosis in the emergency room with thirst. Notwithstanding his presentation with diabetic ketoacidosis, his weight loss and the absence of a family history of diabetes or cutaneous markers of insulin resistance, his elevated bmi and central fat distribution, his ethnicity and the severity of his hyperosmolar state suggested a possible. Abstract canagliflozin is a novel sodium-glucose cotransporter-2 (sglt-2) inhibitor approved for the management of diabetes we report the presentation and management of two cases of canagliflozin associated diabetic ketoacidosis ( dka) and discuss the mechanism of canagliflozin associated dka. We examined data on the children and adolescents presenting with dka over a recent 1-year period in a total number of 15 new type 1 dm cases, there were two patients aged 5 years admitted with severe dka 59 diabetologia croatica 36-3, 2007 university department of pediatrics and department of.
It occurs most commonly in person with diabetes mellitus, especially in women (3 :1) with left side involvement in 60% cases  epn presenting diabetic ketoacidosis as a complication of diabetes mellitus is rare diabetic ketoacidosis ( dka) is an uncommon presentation, only few cases of dka and ep have been reported. We have reported this case to enrich the knowledge of pediatricians to consider the possibility of type 2 dm in obese children and adolescent presented with dka as most of physicians, when they face a child with severe dka consider type1 dm while in this case severe dka was a presentation of type 2 dm. Abstract cerebral edema is a life-threatening complication of diabetic ketoacidosis (dka) which may predominantly develop in pediatric cases during the management of dka symptomatic cerebral edema in children is rarely detected at admission, before initiation of the treatment cerebral edema associated with dka is.
Case study 1 a 32-year-old male with type 1 diabetes since the age of 14 years was taken to the emergency room because of drowsiness, fever, cough, diffuse abdominal pain, and vomiting fever and cough started 2 days ago and the patient could not eat or drink water he has been. Diabetic ketoacidosis (dka) is a cardinal feature of type 1 diabetes however, there is a strong, almost dogmatic, errant perception by physicians that dka is a complication that only occurs in patients with type 1 diabetes this is not true dka does occur in type 2 diabetes however, it rarely occurs in the absence of a. The case: a 6-year-old previously healthy right-handed girl presented with a 3- day history of progressive epigastric abdominal pain, polydipsia and secondary nocturnal enuresis and a 2-week history of weight loss of 5 kg her initial assessment revealed tachypnea with kussmaul's respiration, tachycardia and moderate. Here is a 17 year old female case with acromegaly who presented to our hospital with the first presentation was dka keywords:acromegaly, diabetic ketoacidosis, pituitary macroadenoma introduction diabetic ketoacidosis is an acute complication of diabetes mellitus (dm), especially type 1 the presence of excess.
This is the clinical case of a patient in severe dka (diabetic ketoacidosis) i thought of doing the video when the ekg had some very interesting findings, b. Diabetes mellitus is rare during infancy, however, it should be suspected in infants presenting with features consistent with sepsis and hyperglycemia this is crucial in initiating the treatment of diabetes ketoacidosis which if delayed may result in significant morbidity and death.
Case discussion the patient is most probably suffering from diabetic ketoacidosis she is a known diabetic and the presenting symptoms like abdominal pain, vomiting, rapid breathing and distinctive smell of breath, all indicate associated ketoacidosis basic concept diabetic ketoacidosis (dka) is a state of.
Misdiagnosis of diabetic ketoacidosis as pneumonia in a ghanaian teenager: a case report emmanuel ameyaw and rita ameyaw 1department of child health, school of medical sciences, kwame nkrumah university of science and technology, kumasi, ghana 2nursing and midwifery training college, kumasi,. Summarized from 1 rawla p, vellipuran a, bandura s et al euglycemic diabetic ketoacidosis: a diagnostic and therapeutic dilemma endocrinol diabetes and metabolism case reports september 2017 article id: 17-0081 2 sloan g, ali a, webster j a rare cause of metabolic acidosis: ketoacidosis in a non-diabetic. How to open and close presentations - presentation lesson from mark powell - duration: 7:37 cambridge university press elt 2,103,566 views 7:37 dka- unfolding reasoning case study presentation - duration: 28:34 thinklikeanurse 3,739 views 28:34 diabetic ketoacidosis (dka) simplified. Diabetic ketoacidosis (dka) is commonly encountered in clinical practice the current case is a unique and rare presentation of dka as the initial manifestation of cushing's disease secondary to acth-secreting pituitary adenoma appropriate management as elaborated in the article led to total remission of diabetes as.