Unwell Child

Author: May Honey Ohn / Editor: Martin Dore / Reviewer: Srikanth Padmanabhan / Codes: / Published: 04/08/2023

A 12-month-old girl (10 kg) presents generally unwell and has been vomiting for one day. She has a background history of type 1 diabetes mellitus.

On examination, she is grunting, localising to pain, and opens her eyes to speech. Blood sugar: 10 mmol/L, blood ketone: 4.2 mmol/L.

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