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Comas in diabetes1. Hyperglycaem ...

Posted May 07 2009 9:22pm
Comas in diabetes

  • 1. Hyperglycaemic : Keto acidotic
  • Non keto acidotic
  • 2. Hypoglycaemic
  • 3. Other metabolic comas: secondary to diabetes Uraemia
  • Lactic acidosis
  • 4. Other independent causes ex. SAH
  • Ketoacidosis

Pathogenesis:
precipitated by
  • infections
  • Trauma
  • Drugs
  • Non compliance
Clinical features:
  • Air hunger
  • Anorexia
  • Dehydration
  • Vomiting
  • Ketone smell
  • Abdominal Pain
  • Wt loss
  • Low BP
  • Fatigue

Non ketotic coma in diabetes
Usually occurs in elderly patients which is some times very difficult to diagnose because they shows varies clinical symptoms.in majority,Only the dehydration is present

Investigations:
  • Blood sugar,HCO3
  • Urea
  • PCV
  • Na, K
  • UFR
  • pH, ECG
  • Hb
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