Diabetic ketoacidosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Physical Examination

Appearance of the Patient

Patient may look thin, cachectic, ill-appearing, diaphoretic, disoriented or obtunded due to severe hyperglycemia and ketosis.

Vital Signs

• Hypothermia
• Hypotension
• Tachycardia
• Tachypnea
• Kussmaul breathing may be present in severe DKA
• Weak pulse due to dehydration

Abdomen

• Nausea
• Vomiting
• Abdominal pain