ETD: DKA with electrolyte imbalance secondary to infective AGE
I am kinda guilty for missing the DKA initially in this case. Luckily my boss found my mistake and rectified it. 75 years old lady, underlying hypertension, DM, dyslipidaemia, AF on warfarin, brought in by son, claimed to have 2 episodes of fall, presented with less responsiveness and body weakness. Our initial walking diagnosis is TRO intracranial bleed because of history of fall and history of taking anticoagulant. Further history noted patient had been having poor oral intake for 1 month with abdominal discomfort and loose stool for past few days, however we were too focused on the history of fall, as patient looked drowsy and weak, so we decided to hydrate the patient and send patient for CT brain first. CT brain was normal. We were thinking it could be some kind of electrolyte imbalance, given the history of poor oral intake and some ongoing loose stool episodes, which makes patient weak and fell down at home. My EP came for round after lunch, she immediately found something unu