Question 136 · LEK · Emergencies and acute complications
The following lab results: glucose 651 mg/dl, Na⁺ 120 mmol/l, K⁺ 3.22 mmol/l, plasma osmolality 325 mOsm/l in a patient who is disoriented in time and place, dehydrated and who urinates about 5l/24h may indicate:
- A. hypoglycemic coma.
- B. diabetic ketoacidosis.
- C. nonketotic hyperosmolar diabetic coma.
- D. decompensated diabetes insipidus.
- E. adrenal crisis.
Hint
Note the extreme glucose, the high osmolality and the dehydration from polyuria, and ask whether ketoacidosis is described at all.
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