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A 14-year-old girl presented to the emergency room with loss of consciousness for 7 hours preceded by epigastric pain, nausea, headache, and fever. She had a 1-week history of toothache and symptoms of polydipsia, polyuria, and polyphagia over several months. Physical examination revealed kussmaul breathing and sopor. Laboratory findings confirmed diabetic ketoacidosis with a blood glucose of 850 mg/dL, pH of 7.15, HCO3 of 9.6 mmol/L, and urinary ketones. She was diagnosed with type 1 diabetes triggered by

Author
patricx10
Language
EN