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after being picked up by the police a runaway adolescent girl become increasingly somnolent and lapsing to deep coma 72 hours later her respirations are deep and rapid and she appeared to dehydrated, lab studies shows marked decrease in bicarbonate and significant anion gap as well as neutrophilic lecukocytosis. The mostlikely additional lab finding will be
A. BUN to creatinine ratio less than 1:10
b. decreased cortisol
c. dec T4
d. increased serum proteins
e. increased glucose
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ACUTE ADRENAL ISUFECENCY SECONDARY TO SEPTICEMIA=METABOLIC ACIDOSIS AND ADRENAL INSUFFICENCYAND LECUKOCYTOSIS,,,B,,,
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I THINK THIS IS DKA @ RESIDENT , WHATS THE ANSWER?
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DIABETIC KETOACIDOSIS NOT CAUSE COMA BUT HYPOGLYCEMIA DO SO
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BUT THE ANSWER IS EEE AND THIS IS DKA AND RAHEEM DKA CAN LEAD TO COME
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@ raheem i think DKA can cause coma.... just saw that now in FA 2010 PAGE 295
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THANK YOU,,,,,,,,,,,,,,,,,
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raheem is right the answer is E DKA
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