KROK 1 2007 – Question 28 · KROK (Medicine) · Pathophysiology
A patient was delivered to the hospital by an emergency team. Objectively: grave condition, unconscious, adynamy. Cutaneous surfaces are dry, eyes are sunken, face is cyanotic. There is tachycardia and smell of acetone from the mouth. Analysis results: blood glucose 20,1 mmol/l (standard is 3,3-5,5 mmol/l), urine glucose - 3,5% (standard is - 0). What is the most probable diagnosis?
- A. Acute alcoholic intoxication
- B. Acute heart failure
- C. Anaphylactic shock
- D. Hypoglycemic coma
- E. Hyperglycemic coma
Hint
Combine a very high blood glucose with glucosuria, dehydration, acetone breath and clouded consciousness: which acute complication of diabetes mellitus produces exactly this picture?
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