A 12-year-old girl is brought to her pediatrician for evaluation of fatigue, weight loss, bedwetting,
and extreme thirst. She had been healthy with no significant past medical history until 2 weeks ago
when she started exhibiting these symptoms. The physical examination is notable for a fatigued
girl with dry mucous membranes. Her weight is 5 kg less than at her well child examination 5
months before. Laboratory studies show a random blood glucose of 351 mg/dL, a hemoglobin
A1C of 11.4%, and metabolic acidosis. Her urine is positive for ketones.
What is the final diagnosis?.
A 12yearold girl is brought to her pediatrician for evalua.pdf
1. A 12-year-old girl is brought to her pediatrician for evaluation of fatigue, weight loss, bedwetting,
and extreme thirst. She had been healthy with no significant past medical history until 2 weeks ago
when she started exhibiting these symptoms. The physical examination is notable for a fatigued
girl with dry mucous membranes. Her weight is 5 kg less than at her well child examination 5
months before. Laboratory studies show a random blood glucose of 351 mg/dL, a hemoglobin
A1C of 11.4%, and metabolic acidosis. Her urine is positive for ketones.
What is the final diagnosis?
