screened for GDM at 24 to 28 weeks of gestaton Two Fas 1-h 2-h 3-h CASE STUDY 14
ID: 206527 • Letter: S
Question
screened for GDM at 24 to 28 weeks of gestaton Two Fas 1-h 2-h 3-h CASE STUDY 14.4 13-year-old girl collapsed on a playground at school. When her mother was contacted, she mentioned that her daughter had been losing weight and making frequent trips to the bathroom in the night. The emergency squad noticed of a fruity breath. On entrance to the emergency department, her vital signs were as follows: n load (27. OG any fasti equa or e thar be bet diet acti are Blood pressure Respirations Temperature 98/50 mm Hg Rapid 99 Stat lab results included: Random Urine pH Protein Negative Glucose 4+ Ketones Moderate Creatinine 0.4 mg/dL Blood Serum Chemistries Glucose 500 mg/dL Ketones Positive BUN 5.5 HY 6 mg/dL Negative re Questions 1. Identify this patient's most likely type of diabetes. 2. Based on your identification, circle the common res fur res characteristics associated with that type of diabetes in the case study above. ca 3. What is the cause of the fruity breath? ac anExplanation / Answer
The girl is suffering from Type-I diabetes.
Reasons:
1. Early onset
2. Presence of glucose in urine (Only type I diabetes will show glucose levels in urine)
3. Frequent urination and comma (common to both types)
4. Ketoacidosis is most common in type I diabetes
5. Fruity breath
Fruity breath in diabetes is due to ketoacidosis. When ketone bodies rise beyond safe levels, a sweet and fruity smell can be observed in the breath.
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