A 64 year old man with type 2 diabetes is admitted with severe hyperglycaemia (glucose 38 mmol/L), serum osmolality 325 mOsm/kg, minimal ketones and p...

Question

A 64 year old man with type 2 diabetes is admitted with severe hyperglycaemia (glucose 38 mmol/L), serum osmolality 325 mOsm/kg, minimal ketones and pH 7.34. He is dehydrated and confused. Which diagnosis is most likely?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Lactic acidosis

Answer

Euglycaemic ketoacidosis

Answer

Normal metabolic state

au-racp MCQ (SBA): DKA vs HHS differentiation osmolality

A 64 year old man with type 2 diabetes is admitted with severe hyperglycaemia (glucose 38 mmol/L), serum osmolality 325 mOsm/kg, minimal ketones and pH 7.34. He is dehydrated and confused. Which diagnosis is most likely?