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Case Report

Atypical Diabetic Ketoacidosis in a Young Female

Arif Ishtiq Mattoo, MEM Final Year PG Student, Department of Emergency Medicine, Peerless Hospitex Hospital and Research Centre Limited, Kolkata, West Bengal 700094, India , Arif Ishtiq Mattoo1 , Indraneel Dasgupta2 , Subhendu Das3 , Farhat Anjum4 , Saptrashi Saha5 , Tareq Gull6 , Siddhartha Kuila7

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Indian Journal of Emergency Medicine 4(1):p 49-52, January - March 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4118.9

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Abstract

Diabetic ketoacidosis is a life threatning complication of Diabetes Milletus and can be catastrophic if left untreated.Being one of the most common complications but sometime with no clear history and symptoms the diagnosis become difficult. Hence emergency physicians should keep a broad vision while dealing with young patients with high glucose level. Diabetic ketoacidosis may be the first symptom of previously undiagnosed Diabetes. It is diagnosed with combination of Hyperglycemia, Acidosis and Ketonuria. Patients with prolonged acidosis and tendency to hypokalemia should be investigated for consumption of synthetic cannabinoids. No literature till date have showen Metabolic acidosis with PCO2 4.7 mmHg and HCO 3 1.3 mmol/L.

Keywords: Diabetic Ketoacidosis; Hyperglycemia; Acidosis; Ketonuria; Cannabinoids. 

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.4118.9

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