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How Would You Manage This Patient With Diabetes?
Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get started.
A 23-year-old man with a history of insulin-dependent diabetes presents to the ED with vomiting and shortness of breath. He recently became homeless and has not been using his insulin. On physical exam, he has a fruity odor to his breath. After two hours of treatment in the ED, his serum labs include glucose 190 mg/dL, sodium 133 mEq/L, chloride 101 mEq/L, and bicarbonate 12 mmol/L. Which of the following is the most appropriate next step in management?
A) Allow the patient to eat a turkey sandwich
B) Change to dextrose-containing intravenous fluid
C) Discharge home with endocrinology follow-up
D) Transition to subcutaneous insulin therapy
Check out all of the episodes of “The Reveal” on the Rosh Review YouTube Channel.
The post How Would You Manage This Patient With Diabetes? appeared first on RoshReview.com.
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By Rosh Review
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Welcome to the next episode of The Reveal where we take you inside the mind of a test-taker to deconstruct and connect the dots of a board-style question so you can become a better student, transform how you learn, and excel not only on high-stakes exams, but also in your general medical knowledge. Let’s get started.
A 23-year-old man with a history of insulin-dependent diabetes presents to the ED with vomiting and shortness of breath. He recently became homeless and has not been using his insulin. On physical exam, he has a fruity odor to his breath. After two hours of treatment in the ED, his serum labs include glucose 190 mg/dL, sodium 133 mEq/L, chloride 101 mEq/L, and bicarbonate 12 mmol/L. Which of the following is the most appropriate next step in management?
A) Allow the patient to eat a turkey sandwich
B) Change to dextrose-containing intravenous fluid
C) Discharge home with endocrinology follow-up
D) Transition to subcutaneous insulin therapy
Check out all of the episodes of “The Reveal” on the Rosh Review YouTube Channel.
The post How Would You Manage This Patient With Diabetes? appeared first on RoshReview.com.