Jeff is a 57-year-old male with a long history of type 1 diabetes. He takes insulin to manage his diabetes, but he has been having trouble maintaining steady blood glucose levels over the last two weeks. Jeff suffered a week-long case of influenza last month but is otherwise healthy. This morning, he began vomiting upon waking. This was followed by extreme abdominal pain and extreme thirst. He called his endocrinologist, who told him that he needs to seek emergency care.   Given Jeff’s history of type 1 diabetes, which of the following conditions is he most likely experiencing?   Diabetic ketoacidosis   Metabolic alkalosis   Respiratory alkalosis   Diabetic alkalosis

Handover: Mr Eddie Baker is 31 years old. He was diagnosed with Crohn’s disease in his early 20s. Since then, the disease process has become extensive, affecting most of his terminal ileum and ascending colon. He has experienced some severe exacerbations which have required hospitalisation. He has used most of the pharmacotherapies available, including immunosuppressive medications and corticosteroid therapy for acute exacerbations. Recently, after a colonoscopy showed progression of the disease to other sections of his large bowel, he made the decision to undergo a total colectomy to better manage his condition. His initial surgery was booked for yesterday at 1000. He last ate at 1930 the night before his surgery and last drank at a black weak tea at 0600 the morning of surgery. Due to an emergency Eddie’s operation was delayed until the afternoon. The surgical team were happy with the operation and reported minimal blood loss. Eddie returned to the ward at 1900 last night.  It is now…

Miss Washington is a 71 y/o female who presents with a leg ulcer that appeared after a fall 1 week ago. The patient is coughing and wheezing. She tells you that “I’m feeling terrible.” Vital signs appear stable with no fever.

Edna is a 42-year-old mother of two girls. She has been feeling very sluggish lately and finds it hard to get out of bed in the morning, even after a full night’s sleep. She is fatigued throughout the day and has to compensate with a lot of caffeine. She’s gained about 5 pounds this month, but attributes that to all the workouts she’s been skipping lately. Her partner keeps noticing and mentioning how cold Edna’s hands are, even though it is the middle of summer. Edna sees her doctor to find out what is wrong. Her physician takes her vital signs before doing further testing. Here are her results: BP 124/74, Pulse 52, Temperature 98.2 F, Height 5’8”, and Weight 178 pounds. If Eda is prescribed a synthetic thyroid medication, which of the following would be a sign that her dosage is too high?     Weight gain     Decrease basal metabolic rate     Anxiety     Cold intolerance