Diabetic Ketoacidosis

HISTORY_LIST
***** HISTORY OF PRESENT ILLNESS
Glucose Level
Ketone level
Polyuria
Polyphagia
Fatigue
Weakness
Weight loss
Anorexia
emotional stress
 Physical stress
Infection
Thirst
Dehydration
Cough
Fever
Chills
Dysuria
Urinary frequency
Back pain
Chest pain
Abdominal pain
Dyspnea
Nausea
Vomiting
Pregnancy***** HISTORY
PRECIPITATING FACTORS
New onset Diabetes
Noncompliance
Acute illness
Trauma
Stroke
Hyperthyroidism
Pentamidine
Phenytoin
Beta agonists
Corticosteroids

MEDS_LAB_TESTS
***** MEDS
Acetohexamide
CAPOTEN
Captopril
Chlorpropamide
DDAVP
Desmopressin Acetate
DIABINESE
DIAPID
DYMELOR
Glipizide
Glucagon Hydrochloride
GLUCOTROL
Glyburide
Lypressin
Metoclopramide Hydrochloride
MICRONASE
ORINASE
Osytocin
PITRESSIN
Pneumococcal Vaccine
PNU-IMUNE 23
REGLAN
Sodium Bicarbonate
Tolazamide
Tolbutamide
TOLINASE
Vasopressin***** LAB
Chem -7
Chem-12
Glucose
Sodium
Potassium
Bicarbonate
Chloride
BUN
Createnine
Anion gap
Triglycerides
Phosphate
Amylase
Lipase
Hba1c
Magnesium
CBC
ABG
Urine ketones
Serum ketones
UA
Cardiac enzymes
***** TESTS
CXR
ECG
Sputum C&S
Blood C&S
Serum hCG

REVIEW_OF_SYSTEMS_1
History of infections
kidney disease
myocardial infarcation
stroke
gastroparesis
prior ketoacidosis
foot ulcers
decreased extremity sensation

REVIEW_OF_SYSTEMS_2
VITALS
BP
Postural BP
Pulse
Temp
GENERAL
Conscious
Stuporous
Unconscious
Kussmaul Resp.
SKIN
decreased Turgor
Delayed capillary refill
Hyperpigmented atrophic macules 
   on legs
Intertriginous candidiasis
erythrasma
localized fat atrophy
Xanthomas
HEENT
Diabetic retinopathy
Neovascularization
Cotton wool patches
hemorrhages
exudates
acetone breath odor
Decreased visual acuity
decreased eye turgor
decreased throat moistue
flat neck veins
neck rigidity

REVIEW_OF_SYSTEMS_3


PHYSICAL_EVAL_1
CHEST
Crackles
Wheezes
ABDOMEN
Hypoactive bowel sounds
gastric dilitation
tenderness
costovertebral angle tenderness
suprapublic tenderness
EXTREMITIES
Distal Pulses
Foot ulcers
Cellulitis
NEURO
Delirium
Confusion
Peripheral neuropathy
Decreased pin sensation
Decreased touch sensation
Decreased vibration sensation
Hypotonia
Hyporeflexia

PHYSICAL_EVAL_2


DIFF_DIAGNOSIS
PRIMARY
SECONDARY
RULE OUT
Diabetic Ketoacidosis
Lactic acidosis
Alcoholic ketoacidosis
Renal insufficiency
Methanol ingestion
Salicylates
Ethylene glycol
Paraldehyde

