Snapshot A 12 year old boy, previously healthy, is admitted to the hospital after 2 days of polyuria, polyphagia, nausea, vomiting and abdominal pain. Vital signs are: Temp 37C, BP 103/63 mmHg, HR 112, RR 30. Physical exam shows a lethargic boy. Labs are notable for WBC 16,000, Glucose 534, K 5.9, pH 7.13, PCO2 is 20 mmHg, PO2 is 90 mmHg. Introduction Complication of type I diabetes login to view 1 more bullet Precipitated by login to view 6 more bullets Presentation Symptoms login to view 2 more bullets Physical exam login to view 5 more bullets Evaluation Serology login to view 23 more bullets Treatment Fluids Insulin with glucose login to view 4 more bullets Long lasting insulin login to view 1 more bullet Prognosis, Prevention, and Complications 5-10% mortality Life-threatening mucormycosis login to view 1 more bullet Rhizopus infection Cerebral edema Cardiac arrhythmias login to view 1 more bullet Heart failure login to view 1 more bullet