CRACKCast E126 - Diabetes Mellitus and Disorders of Glucose Homeostasis - a podcast by The CanadiEM.org Team

Core questions:

 

• Define DKA.

• List 6 potential triggers of DKA.

• Describe the pathophysiology of DKA. (Fig 118.1)

• How is DKA managed in children? In adults?

• What are the epidemiologic risk factors for cerebral edema in DKA?

• What are signs and symptoms of cerebral edema? How do you manage a pt with DKA and suspected cerebral edema?

• List 5 complications of DKA management

• List five common serious infections in diabetics and how they are managed.

• How does hypoglycemia classically present?

• List 10 causes of hypoglycemia

• Describe the treatment of hypoglycemia

• What is the definition of hyperglycemic, hyperosmolar state?

• Contrast DKA and HHS (Table 118.2)

• What is the pathophysiology of HHS?

• How is HHS managed?

 

WiseCracks:

 

• Why are urine ketones less sensitive for DKA than serum ketones?

• When do you give NaHCO3 to a patient with DKA?

• What is euglycemic DKA?

• What is the differential diagnosis of hypoglycemia in a patient who does not have DM? What would you add to the differential diagnosis in a pt who has DM?

 

 

Further episodes of CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries

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