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What is the free T
4
? If this is elevated, think of hyperthyroidism.
What is the plasma cortisol? If this is elevated, think of Cushing's syndrome.
What is the plasma growth hormone? If this is elevated, think ... DIAGNOSTIC WORKUP
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Normal fasting glucose is <110 mg/dL, impaired fasting glucose is 111–125 mg/dL, and diabetes mellitus is defined as a fasting glucose >126 mg/dL. Several values above normal are indicated before making a diagnosis of impaired fasting glucose or>... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Diabetes mellitus is the most common endocrine disorder of childhood, affecting about 2/1,000 school-age children in the U.S. The absolute or relative lack of insulin results in an abnormal metabolic state, including hyperglycemia. Children with diabetes are at risk for the acute... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... To form a list of diagnostic possibilities in a case of hyperglycemia, one needs only to think of the endocrine glands. Considering the pancreas should prompt the recall of diabetes mellitus and glucogonomas. Considering the adrenal gland would prompt
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... Fruity breath odor results from respiratory elimination of excess acetone. This sign characteristically occurs with ketoacidosis — a potentially life-threatening condition that requires immediate treatment to prevent severe dehydration, irreversible... Emergency interventions ... History and physical examination
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... Inadequate dietary preparation for glucose tolerance test
Impaired glucose tolerance
Gestational diabetes
Type 1 diabetes (B-cell destruction, usually leading to
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... Diabetes mellitus (DM) is a chronic disease of absolute or relative insulin deficiency or resistance characterized by disturbances in carbohydrate, protein, and fat metabolism. A leading cause of death by disease in the United States, this... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Signs and Symptoms Acetone breath, Kussmaul’s respirations, dehydration, weak and thready pulse, nausea, vomiting, altered level of consciousness, dry mucous membranes, serum glucose level of 300 to 1,500 mg/dl ... Treatment (Tx)
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... Fruity breath odor results from respiratory elimination of excess acetone. This sign characteristically occurs in ketoacidosis, a potentially life-threatening condition that requires immediate treatment to prevent severe dehydration, irreversible coma, and death.
... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Michael Ostapchuk and Michael B. Foster
Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both (1). There are two types of DM: type 1 and type 2.... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... A chronic disease of absolute or relative insulin deficiency or resistance, diabetes mellitus is characterized by disturbances in carbohydrate, protein, and fat metabolism.
This condition occurs in two forms: type 1, characterized by absolute... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Fruity breath odor results from respiratory elimination of excess acetone. This sign characteristically occurs with ketoacidosis — a potentially life-threatening condition that requires immediate treatment to prevent severe dehydration, irreversible coma... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Fruity breath odor results from respiratory elimination of excess acetone. This sign characteristically occurs with ketoacidosis — a potentially life-threatening condition that requires immediate treatment to prevent severe dehydration, irreversible coma, and death. ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Fruity breath odor results from respiratory elimination of excess acetone. This sign characteristically occurs with ketoacidosis—a potentially life-threatening condition that requires immediate treatment to prevent severe dehydration, irreversible coma, and death.
... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
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To form a list of diagnostic possibilities in a case of hyperglycemia,
one needs only to think of the endocrine glands. Considering the pancreas
should prompt the recall of diabetes mellitus and glucagonomas. Considering
the adrenal gland would... Pictures
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... Author:
Mindy Dickerman, MD
What to Do - Gather Appropriate Data
Cerebral edema is the most feared complication of DKA in children. Clinically apparent cerebral edema occurs in 1% of childhood DKA. One third to
one half of... Suggested Readings
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... Author:
Renée Roberts, MD
What to Do - Make a Decision
The insulin infusion should never be discontinued until the acidosis is corrected. Rather, use additional sources of dextrose containing intravenous
(IV) fluids if hypoglycemia develops.
DKA... Suggested Readings
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... David R. Langdon, MD Diabetic Ketoacidosis - BASICS Diabetic Ketoacidosis - description Severe metabolic derangement that occurs in patients with diabetes mellitus, either type 1 or untreated ... Diabetic Ketoacidosis - DIAGNOSIS ... Diabetic Ketoacidosis - TREATMENT ... Diabetic Ketoacidosis - FOLLOW UP ... Diabetic Ketoacidosis - bibliography ... Diabetic Ketoacidosis - CODES ... Diabetic Ketoacidosis - PATIENT TEACHING-MED ... Diabetic Ketoacidosis - FAQ
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Diabetes is no reason to stop chasing Olympic gold. Meet Chris Jarvis, an elite Canadian rower, who continues to aggressively train despite having...
Studies show nearly 3 out of every 4 women will experience a yeast infection at least once in their life. For women with diabetes, however, the risk...
Treating nerve damage from diabetes requires a two-pronged approach: controlling blood sugar and alleviating the pain caused by peripheral...
Type 2 diabetes doesn't strike out of the blue. Instead, a person's body undergoes a series of changes. Listen as experts explain the clues...