A 13-year-old male student was seen by his primary care physician. His chief com
ID: 149270 • Letter: A
Question
A 13-year-old male student was seen by his primary care physician. His chief complaints were fatigue, weight loss, and increases in appetite, thirst, and frequent urination. The patient has a family history of diabetes mellitus. Chemistry and Urinalysis results are listed below:
Urinalysis Results
Chemistry Results
Specific Gravity
1.012
Fasting Plasma Glucose
160 mg/dL
Glucose
4+
Ketone
Large
List 2 additional tests (besides Fasting Plasma Glucose) that could be used to confirm diagnosis, and predict the results of each for this patient.
Assuming this patient has diabetes, which type would be diagnosed? Why?
Urinalysis Results
Chemistry Results
Specific Gravity
1.012
Fasting Plasma Glucose
160 mg/dL
Glucose
4+
Ketone
Large
Explanation / Answer
Ans
Fasting blood sugar level and presence of large Ketone body indicate patient has as diabetes1. Which cause ketoacidosis Ketone bodies formed in body when acetylcholine is accumulated due to little insulin.
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