Question 97 · LEK · Diabetology
A 5-year-old girl, healthy and properly developing so far, was referred to the ER because of disturbances of consciousness, poor general condition and significant dehydration with rapid, deep breathing. From anamnesis you find out that she has lost 3 kg of weight for the last 2 weeks, and begun wetting. Previously she used to drink a lot, but the last day she stopped drinking and urinating; she complained of severe abdominal pain and vomiting. Indicate the most probable diagnosis:
- A. ketoacidosis in the course of previously undiagnosed diabetes mellitus.
- B. alcohol intoxication.
- C. exacerbation of chronic kidney disease previously undiagnosed.
- D. adrenal crisis.
- E. meningitis.
Hint
Combine the weeks of polyuria, polydipsia and weight loss with deep rapid breathing, vomiting and altered consciousness.
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