Part B Monique was busy with school, work, and planning a party for her 21st bir

Question

Part B

Monique was busy with school, work, and planning a party for her 21st birthday, so she put off going to the doctor. The day before her party, Monique came down with a bad cold, but did not want to cancel the party. Monique and her friends first went out to a few bars for free birthday drinks, then back to her friend’s apartment for a party where she continued to drink alcohol to the point that she was vomiting. She passed out early in the morning. The next morning, her friends wanted to take Monique out to breakfast to wrap up the celebration, but they could not wake her. They dialed 9-1-1, and she was rushed to the hospital by ambulance. Monique’s parents were quite upset to find out that their daughter was in a coma. What was the cause of Monique’s coma?

Table 2

hyperosmolar ketotic coma

diabetic ketoacidosis

hypoglycemic coma

hyperosmolar nonketotic coma

Blood Test Normal Values Monique’s Values Glucose (fasting) < 99 mg/dL 345 mg/dL Blood pH 7.38-7.42 6.9 Serum ketones < 0.6 mmol/L 3.1 mmol/L Plasma osmolarity < 325 mOsm 318 mOsm

Explanation / Answer

This is a case of diabetic ketoacidosis .diabetic ketoacidosis is associated with high blood glucose, high serum ketones and low blood ph.

as the osmolarity of plasma is within limits and blood glucose is high it cannot be hyperosmolar ketotic coma or hyperosmolar non ketotic coma or hypoglycemic coma

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