DKA and HHS- Fluids, yes please

A 47 year old male presents after returning from a trip to Orlando. He was visiting Harry Potter World and states he had left his insulin at home and instead prescribed himself Butterbeers BID. He rode “Escape from Gringotts”, but shortly after his third ride his friend noticed his skin and facial complexion looked much worse than one of the goblins. An ambulance was called. En route the patient’s friend tweeted #HogwartsExpresss. The patient arrived tachycardic with poor capillary refill. He was lethargic and unable to provide any history and was disoriented.

Which of the following is true regarding this patient’s condition?

A. DKA has a higher mortality than HHS

B. Thromboembolic events are the most common cause of death in HHS

C. Cerebral edema is managed with prompt diuretics and steroids

D. Mental status changes are correlated with changes in serum osmolarity in HHS


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Blake Briggs