A 22-year-old patient presents to A&E with confusion, nausea…
A 22-year-old patient presents to A&E with confusion, nausea and vomiting. History of presenting complaint: 1 week history of polyuria, polydipsia and sweet-smelling breath Reports significant weight loss Family history: Father has type 1 diabetes (diagnosed aged 15) Mother has essential hypertension (diagnosed aged 60) Past medical history: Nil of note Repeat medication: Rigevidon (ethinylestradiol, levonorgestrel) take one tablet daily for 9 weeks followed by a 4-day pill free period. Social history: University student Irregular eating habits, mainly convenience foods Vapes nicotine 16mg strength Observations: Height 170cm Weight 58kg (70kg 2 months ago) BP 105/86 mmHg Pulse 130 beats per minute regular Temperature 37.8°C Following point of care testing, a working diagnosis of diabetic ketoacidosis secondary to type 1 diabetes mellitus is made.