Diabetic Ketoacidosis
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 4 August 2019
⏱️ 18 minutes
🧾️ Download transcript
Summary
Your next patient is a 21 year old female who was brought in to urgent care by her husband with the chief complaint of fatigue and vomiting.
Before you go in to see the patient, you notice she has no past medical history and her vital signs are normal, aside from a heart rate of 122 BPM.
The patient thought she was coming down with something, because she was feeling very tired and lost her appetite. She developed vomiting this am. They blame the sushi they ate.
During the physical, you notice she looks very ill. She's laying on her side and holding her belly uncomfortably. Her skin looks pale and appears to be dehydrated.
So, you ask for a glucose, and come to find, it's extremely high and reads ">500".
Today, we'll be talking diabetic ketoacidosis. We will also be answering your questions at the end of our show in the Ask Medgeeks segment, which includes LFTs and clean catch urine samples.
-
Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine.
This looks different to everyone, which is why we take such a personalized approach.
Whether you want to ...
- Stop taking your work home
- Have the skillset to work autonomously
- Improve your work life balance
https://medgeeks.co/about-us
-
Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates:
-
This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.
Transcript
Click on a timestamp to play from that location
| 0:00.0 | Your next patient is a 21-year-old female who was brought to your urgent care by her husband. |
| 0:04.6 | The chief complaint is fatigue and vomiting. |
| 0:07.3 | Before going to see the patient, you note that she has no past medical history and her vital |
| 0:11.4 | signs are normal aside from a heart rate of 122. |
| 0:15.6 | The patient thought she was coming down to something yesterday because she was feeling |
| 0:18.6 | very tired and lost her appetite. |
| 0:21.7 | She then developed vomiting this morning. Her husband is |
| 0:24.8 | blaming the sushi they ate last night. When you examine the patient she looks |
| 0:28.9 | very ill. She's laying on her side, holding her belly uncomfortably. |
| 0:33.4 | Her skin looks a bit pale, and she appears to be dehydrated. |
| 0:36.8 | You ask the MA if he can get a POC glucose, |
| 0:39.4 | and as he's doing so, the husband starts musing |
| 0:41.4 | that it's probably really low because the patient hasn't eaten anything all day. |
| 0:45.0 | However, unlike yourself, the husband is shocked to learn from the MA that the patient's glucose is actually extremely high, |
| 0:52.0 | higher than their glucometer |
| 0:53.7 | and the urgent care can actually measure, |
| 0:55.5 | and it simply says, greater than 500. Hey y'all how's it going to do you. |
| 1:03.0 | Hey y'all how's it going to be here to |
| 1:09.0 | hey y'all how's it going today so glad you're here to join us with another episode of the |
| 1:13.6 | med geeks podcast this is Eric and today we're going to be talking about diabetic |
| 1:18.3 | ketoacidosis later in the show we're going to be answering a couple questions that were sent in. |
| 1:23.4 | One of them is about LFTs, going over Alkfoss, GGT, AST, AST, etc. |
... |
Please login to see the full transcript.
Disclaimer: The podcast and artwork embedded on this page are from Medgeeks, and are the property of its owner and not affiliated with or endorsed by Tapesearch.
Generated transcripts are the property of Medgeeks and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.
Copyright © Tapesearch 2026.