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9th February 2024
A 34-year-old female was admitted with vomiting and reduced GCS.
A 34-year-old female was admitted with vomiting and reduced GCS. PMH Type 1 diabetes mellitus, diabetic retinopathy and diabetic neuropathy.
Blood gas on room air shows the following:
| Investigation | Results | Normal value |
|---|---|---|
| pH | 7.20 | 7.35-7.45 |
| pCO2 | 2.9 kPa | 4.7-6.0 kPa |
| pO2 | 13 kPa | >10.5 kPa |
| HCO3- | 14 mmol/l | 22-29 mmol/l |
What is the likely diagnosis?
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