A 76-year-old man with type 2 diabetes is found collapsed at home. On arrival he is drowsy and severely dehydrated. Capillary glucose is 42 mmol/L, se...

Question

A 76-year-old man with type 2 diabetes is found collapsed at home. On arrival he is drowsy and severely dehydrated. Capillary glucose is 42 mmol/L, serum osmolality is raised and there is minimal ketonaemia. What is the most likely diagnosis?

Accepted Answer

Hyperosmolar hyperglycaemic state

Answer

Diabetic ketoacidosis

Answer

Hypoglycaemia

Answer

Lactic acidosis

Answer

Alcoholic ketoacidosis

uk-plab-1 MCQ (SBA): Hyperosmolar hyperglycaemic state

A 76-year-old man with type 2 diabetes is found collapsed at home. On arrival he is drowsy and severely dehydrated. Capillary glucose is 42 mmol/L, serum osmolality is raised and there is minimal ketonaemia. What is the most likely diagnosis?