Template:DKA clinical features - Revision history

Ostermayer at 12:12, 10 March 2026

2026-03-10T12:12:29Z

@@ Línea 1: / Línea 1: @@
-*May be the initial presenting of an unrecognized T1DM patient
+*May be the '''initial presentation''' of unrecognized T1DM (6-21% of adults with T1D present with DKA as first diagnosis)
-*OR symptoms/signs of inciting precipitant (e.g. history of med/dietary nonadherence, signs/symptoms of infection)
+*OR symptoms/signs of an inciting precipitant (e.g. medication/dietary nonadherence, signs/symptoms of infection, insulin pump malfunction)
 *Presenting features may include:
-**Polydipsia, [[polyuria]] (initially) or decreased urine output (as volume depleted)
-**Signs of [[dehydration]] (dry mouth, dry mucosa, etc.), [[hypotension]]
+====Constitutional====
 **Generally ill-appearance
-**[[Altered mental status]], drowsiness with decreased reflexes
+**[[Fatigue]], weakness, malaise
-***[[Cerebral edema in DKA|Cerebral edema]] increases mortality significantly, especially in children
+**+/- Weight loss (may be significant in new-onset T1D)

ClaireLewis: /* History */

2019-08-31T15:01:45Z

History

← Revisión anterior		Revisión del 15:01 31 ago 2019
Línea 1:		Línea 1:
	~~===History===~~
	*May be the initial presenting of an unrecognized T1DM patient		*May be the initial presenting of an unrecognized T1DM patient
	*OR symptoms/signs of inciting precipitant (e.g. history of med/dietary nonadherence, signs/symptoms of infection)		*OR symptoms/signs of inciting precipitant (e.g. history of med/dietary nonadherence, signs/symptoms of infection)

ClaireLewis at 14:57, 31 August 2019

2019-08-31T14:57:07Z

← Revisión anterior		Revisión del 14:57 31 ago 2019
Línea 1:		Línea 1:
	===History===		===History===
	*May be the initial presenting of an unrecognized T1DM patient		*May be the initial presenting of an unrecognized T1DM patient
	*~~Presenting~~ signs/symptoms include ~~[[altered mental status]], tachypnea~~, [[~~abdominal pain~~]]~~, hypotension,~~ decreased urine output.		*OR symptoms/signs of inciting precipitant (e.g. history of med/dietary nonadherence, signs/symptoms of infection)
	*~~Perform a thorough neurologic exam~~ (~~cerebral edema increases mortality significantly~~, ~~especially in children~~)		*Presenting features may include:
	*~~Assess for possible inciting cause (especially for ongoing infection; see Differential Diagnosis section)~~		**Polydipsia, [[polyuria]] (initially) or decreased urine output (as volume depleted)
			**Signs of [[dehydration]] (dry mouth, dry mucosa, etc.), [[hypotension]]
	~~===Physical===~~		**+/- Weight loss
	*~~Ill appearance.~~		**[[Abdominal pain]], [[nausea/vomiting]]
	*~~Acetone breath.~~		**[[Tachypnea]] (Kussmaul's breathing)
	*~~Drowsiness with decreased reflexes~~		**Acetone or fruity smell on breath
	*Tachypnea (Kussmaul's breathing)		**Generally ill-appearance
	*~~Signs of dehydration~~ with ~~dry mouth and dry mucosa.~~		**[[Altered mental status]], drowsiness with decreased reflexes
	*~~Perform a thorough neurologic exam as cerebral~~ edema increases mortality significantly, especially in children		***[[Cerebral edema in DKA\|Cerebral edema]] increases mortality significantly, especially in children
	*There may be signs from underlying cause (eg pneumonia)

Teledoc4u: /* Physical */

2016-11-24T07:21:43Z

Physical

← Revisión anterior		Revisión del 07:21 24 nov 2016
Línea 6:		Línea 6:

	===Physical===		===Physical===
	*Drowsiness		*Ill appearance.
			*Acetone breath.
			*Drowsiness with decreased reflexes
	*Tachypnea (Kussmaul's breathing)		*Tachypnea (Kussmaul's breathing)
	*Signs of dehydration		*Signs of dehydration with dry mouth and dry mucosa.
	*Perform a thorough neurologic exam as cerebral edema increases mortality significantly, especially in children		*Perform a thorough neurologic exam as cerebral edema increases mortality significantly, especially in children
	*There may be signs from underlying cause (eg pneumonia)		*There may be signs from underlying cause (eg pneumonia)

Teledoc4u: /* History */

2016-11-23T21:31:29Z

History

← Revisión anterior		Revisión del 21:31 23 nov 2016
Línea 1:		Línea 1:
	===History===		===History===
	*May be the initial presenting of an unrecognized T1DM patient		*May be the initial presenting of an unrecognized T1DM patient
	*Presenting signs/symptoms include [[altered mental status]], tachypnea, [[abdominal pain]]		*Presenting signs/symptoms include [[altered mental status]], tachypnea, [[abdominal pain]], hypotension, decreased urine output.
	*Perform a thorough neurologic exam (cerebral edema increases mortality significantly, especially in children)		*Perform a thorough neurologic exam (cerebral edema increases mortality significantly, especially in children)
	*Assess for possible inciting cause (especially for ongoing infection; see Differential Diagnosis section)		*Assess for possible inciting cause (especially for ongoing infection; see Differential Diagnosis section)

ClaireLewis: /* History */

2016-07-13T22:39:26Z

History

← Revisión anterior		Revisión del 22:39 13 jul 2016
Línea 1:		Línea 1:
	===History===		===History===
	*May be the initial presenting of an unrecognized T1DM patient		*May be the initial presenting of an unrecognized T1DM patient
	*Presenting signs/symptoms include altered mental status, tachypnea, abdominal pain		*Presenting signs/symptoms include [[altered mental status]], tachypnea, [[abdominal pain]]
	*Perform a thorough neurologic exam (cerebral edema increases mortality significantly, especially in children)		*Perform a thorough neurologic exam (cerebral edema increases mortality significantly, especially in children)
	*Assess for possible inciting cause (~~esp~~ for ongoing infection; see Differential Diagnosis section)		*Assess for possible inciting cause (especially for ongoing infection; see Differential Diagnosis section)

	===Physical===		===Physical===

Rossdonaldson1: Created page with "===History=== May be the initial presenting of an unrecognized T1DM patient Presenting signs/symptoms include altered mental status, tachypnea, abdominal pain *Perform a tho..."

2015-11-26T22:31:16Z

Created page with "===History=== *May be the initial presenting of an unrecognized T1DM patient *Presenting signs/symptoms include altered mental status, tachypnea, abdominal pain *Perform a tho..."

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===History===
*May be the initial presenting of an unrecognized T1DM patient
*Presenting signs/symptoms include altered mental status, tachypnea, abdominal pain
*Perform a thorough neurologic exam (cerebral edema increases mortality significantly, especially in children)
*Assess for possible inciting cause (esp for ongoing infection; see Differential Diagnosis section)

===Physical===
*Drowsiness
*Tachypnea (Kussmaul's breathing)
*Signs of dehydration
*Perform a thorough neurologic exam as cerebral edema increases mortality significantly, especially in children
*There may be signs from underlying cause (eg pneumonia)

Template:DKA clinical features - Revision history

Ostermayer at 12:12, 10 March 2026

ClaireLewis: /* History */

ClaireLewis at 14:57, 31 August 2019

Teledoc4u: /* Physical */

Teledoc4u: /* History */

ClaireLewis: /* History */

Rossdonaldson1: Created page with "===History=== *May be the initial presenting of an unrecognized T1DM patient *Presenting signs/symptoms include altered mental status, tachypnea, abdominal pain *Perform a tho..."

Rossdonaldson1: Created page with "===History=== May be the initial presenting of an unrecognized T1DM patient Presenting signs/symptoms include altered mental status, tachypnea, abdominal pain *Perform a tho..."