Multisystem: Shock, Sepsis and Metabolic Syndromes · USMLE Step 1

A diabetic patient presents with confusion, dehydration, and a glucose level of 900 mg/dL. pH is 7.35. Which diagnosis is most likely?

  1. Diabetic ketoacidosis
  2. Hyperosmolar hyperglycemic state
  3. Lactic acidosis
  4. Starvation ketosis
Show answer and explanation

Correct answer: Hyperosmolar hyperglycemic state

Hyperosmolar hyperglycemic state presents with extreme hyperglycemia, dehydration, and near-normal pH. Ketosis and acidosis are minimal or absent.

Difficulty: Medium Question 4 of 19

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