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
Pathogenesis:
precipitated by
- infections
- Trauma
- Drugs
- Non compliance
Clinical features:Investigations: