Case presentation and discussion Euglycemic DKA 1401.01.15

• 21 year old woman
• born and live in one of the villages of Hamedan
• source of history : patient , unreliable
• ejucation: deploma
• The chief  complaints are nausea and vomiting and oral intake intolerance

patient  history:

• Patient: 21-year-old diabetic and pregnant woman with chief complaints of nausea and vomiting and intolerance to po. The patient referred to Taleghani Emergency Department on  13/12/1400.
• The patient was a 21-year-old pregnant woman   (11W+4d  ) and G1P0A0   with a history of type 1  who had been receiving insulin treatment for 6 years.
• The patient's problems had been started  about one month ago, so that she had two recent hospitalizations in the ICU of Hamedan.
• First admission: with diagnosis of hyperemesis Gravidarum . (30/11/1400)(_6/12/1400)
• Second hospitalization: with diagnosis of dka and  hyperemesis Gravidarum.(9/12/1400_13/12/1400) and discharge with personal consent