Template:DKA clinical features
- May be the initial presenting of an unrecognized T1DM patient
- OR symptoms/signs of inciting precipitant (e.g. history of med/dietary nonadherence, signs/symptoms of infection)
- Presenting features may include:
- Polydipsia, polyuria (initially) or decreased urine output (as volume depleted)
- Signs of dehydration (dry mouth, dry mucosa, etc.), hypotension
- +/- Weight loss
- Abdominal pain, nausea/vomiting
- Tachypnea (Kussmaul's breathing)
- Acetone or fruity smell on breath
- Generally ill-appearance
- Altered mental status, drowsiness with decreased reflexes
- Cerebral edema increases mortality significantly, especially in children