A 38 year old diabetic male presented to OPD with SOB and vomitings
chief complaints
A 38 year old gentleman from Reddibavi came to the OP with the chief complaints - shortness of breath and vomitings.
History of present illness
The patient was apparently asymptomatic 3 days ago. 3 days back he had alcohol ( 2 quarters )
He missed his insulin shot 2 days back.
In the afternoon he had an episode of vomiting after lunch.
vomiting was non bilious, non foul smelling and no blood stains. It had food particles and watery in consistency.
SOB of grade 4 is seen.
History of past illness
Diabetic since 1 and half year- on insulin medication
No HTN/ TB/ Epilepsy
Personal History
Mixed diet
Normal apetite
Regular bowel and bladder movements
Adequate sleep
Addictions- Alcoholic since 4-5 years
Beedi smoker of 5-6 per day since 4-5 years
General Examination
The patient is moderately built and nourished
He is conscious, coherent and cooperative and well oriented to time, place, and person.
NO pallor
NO icterus
NO cyanosis
NO Clubbing
No edema
NO lymphadenopathy
Vitals
Temperature - 98.2'F
BP 100/60
RR 40
SPO2 95%
Investigations
HIV non reactive
HCV Negative
Urine for KETONE BODIES - POSITIVE
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