SOLVED1632

A 64-year-old woman with 15-year history of diabetes mellitus admitted to emergency unit unconscious. Medical history revealed that patient follows a diet and treated with gliclazide 120 mg with optimal glucose control. Arterial hypertension has been treated with hydrochlorothiazide over the past month. 3 days ago, polyuria, thirst and muscle weakness occurred. Physical examination: the patient’s condition is serious, consciousness is absent. Skin and tongue are dry. Muscle hypotension found. There is no acetone smell from the mouth. Patient has shallow breathing, respiratory rate 28 per minute. Heart: rhythm regular, muffled sounds, BP 80/40 mmHg, heart rate 120 per minute. The abdomen is soft, the liver at the edge of the costal arch. Laboratory results: Plasma glucose – 50,6 mmol/l, acetone in urine is negative. 1. Identify Syndromes. 2. Preliminary diagnosis. 3. Differential diagnosis. 4. Additional examination plan. 5. Prescribe treatment
SCIENCE
HEALTH SCIENCE
NURSING

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