Diabetic ketoacidosis history and symptoms: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 2: | Line 2: | ||
{{Diabetic ketoacidosis}} | {{Diabetic ketoacidosis}} | ||
{{CMG}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
==History== | ==History== | ||
=== Age of onset === | |||
* Young children tend to present more likely with DKA as the first presentation of type 1 diabetes than older children.<ref name="pmid23758313">{{cite journal |vauthors=de Vries L, Oren L, Lazar L, Lebenthal Y, Shalitin S, Phillip M |title=Factors associated with diabetic ketoacidosis at onset of Type 1 diabetes in children and adolescents |journal=Diabet. Med. |volume=30 |issue=11 |pages=1360–6 |year=2013 |pmid=23758313 |doi=10.1111/dme.12252 |url=}}</ref> | |||
* Peripubertal and adolescent girls are affected more than other age groups. | |||
=== Family History === | |||
=== Initial Presentation === | |||
=== Past Medical History === | |||
=== Social History === | |||
==Symptoms== | ==Symptoms== | ||
Revision as of 20:56, 3 August 2017
|
Diabetic ketoacidosis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Diabetic ketoacidosis history and symptoms On the Web |
|
American Roentgen Ray Society Images of Diabetic ketoacidosis history and symptoms |
|
Risk calculators and risk factors for Diabetic ketoacidosis history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
History
Age of onset
- Young children tend to present more likely with DKA as the first presentation of type 1 diabetes than older children.[1]
- Peripubertal and adolescent girls are affected more than other age groups.
Family History
Initial Presentation
Past Medical History
Social History
Symptoms
Early Symptoms
- Sluggish, extreme tiredness
- Fruity smell to breath/compare to nail polish remover, similar to peardrops
- Extreme thirst, despite large fluid intake
- Constant urination
- Extreme weight-loss
- Oral Thrush may be present, or/ yeast infections that fail to go away, this is because the normal fungal/flora present in oral cavity/cervix in women, the balance is upset and bacterial began to feast on the high sugar from urine output/ dry mouth from extreme thirst.
- Muscle wasting
- Agitation / Irritation / Aggression / Confusion
Late Symptoms
At this point, DKA is life-threatening and medical attention should be sought immediately.
- Emesis (vomiting), although this is not always a sign of late-stage ketoacidosis, and can occur both in early-stage ketoacidosis and in non-ketoacidic hyperglycaemia.
- Confusion
- Abdominal pain
- Loss of appetite
- Flu-like symptoms
- Lethargy and apathy
- Extreme weakness
- Kussmaul breathing ("air hunger"). Patients breathe more deeply and/or rapidly.
- Unconsciousness (diabetic coma) after prolonged DKA. At this stage, speedy medical attention is imperative.
References
- ↑ de Vries L, Oren L, Lazar L, Lebenthal Y, Shalitin S, Phillip M (2013). "Factors associated with diabetic ketoacidosis at onset of Type 1 diabetes in children and adolescents". Diabet. Med. 30 (11): 1360–6. doi:10.1111/dme.12252. PMID 23758313.