A 14-year-old boy is brought to the emergency department by his parents due to excessive thirst, frequent urination, and recent unintentional weight loss despite increased appetite. On examination, he appears dehydrated, and his breath smells fruity. Blood glucose is found to be 480 mg/dL, and ketones are present in both blood and urine. What is the most likely diagnosis, and what is the immediate treatment priority?
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The most likely diagnosis is Diabetic Ketoacidosis (DKA) due to new-onset Type 1 Diabetes Mellitus.
The immediate treatment priority is IV fluid resuscitation, followed by insulin therapy and electrolyte correction.
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Diabetes mellitus type 1 complication - diabetic ketoacidosis.
Treatment - insulin therapy
For dehydration - ORS I think
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Interesting topic
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Seems a lucrative for me got dehydrated while my examination.
Treatment ORS should be quick and cheap treatment
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