Diabetic ketoacidosis diagnostic study of choice: Difference between revisions
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==Overview== | ==Overview== | ||
There are specific cut-offs for serum glucose level, ketone levels, body pH and serum bicarbonate levels for the diagnosis for diabetic ketoacidosis as outlined by the American Association of Clinical Endocrinologists. | There are specific cut-offs for [[serum]] [[glucose]] level, [[ketone]] levels, body [[pH]] and [[serum]] [[bicarbonate]] levels for the diagnosis for diabetic ketoacidosis as outlined by the American Association of Clinical Endocrinologists. | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
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!Lab value | !Lab value | ||
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|'''Arterial pH''' | |'''[[Arterial]] pH''' | ||
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* <7.3 | * <7.3 | ||
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** ≥40 mg/dL (3.8 mmol/L) | ** ≥40 mg/dL (3.8 mmol/L) | ||
|- | |- | ||
|'''Serum ketones''' | |'''[[Serum]] [[ketones]]''' | ||
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* Positive | * Positive | ||
|- | |- | ||
|'''Anion gap''' | |'''[[Anion gap]]''' | ||
| | | | ||
* > 10 | * > 10 | ||
|- | |- | ||
|'''Mental status''' | |'''[[Mental status]]''' | ||
| | | | ||
* Drowsy | * [[Drowsiness|Drowsy]] | ||
* Stupor | * [[Stupor]] | ||
* Coma in moderate to severe DKA | * [[Coma]] in moderate to severe DKA | ||
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Revision as of 16:00, 23 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]
Overview
There are specific cut-offs for serum glucose level, ketone levels, body pH and serum bicarbonate levels for the diagnosis for diabetic ketoacidosis as outlined by the American Association of Clinical Endocrinologists.
Diagnostic Criteria
The American Association of Clinical Endocrinologists (AACE) states that the diagnosis of DKA is based on the following features/criteria:[1]
| Parameter | Lab value |
|---|---|
| Arterial pH |
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| Beta hydroxybutyrate |
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| Serum ketones |
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| Anion gap |
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| Mental status |
References
- ↑ "www.aace.com" (PDF).