Question

Billy is an 11-year-old boy who was admitted to hospital with dehydration. His parents said that over the last few months, he had seemed tired and lacking in energy, and that despite eating well and drinking large quantities of fluids he had lost about 7 kg (15 lbs) in weight. He also seemed to be going to the toilet frequently, not only during the day but also during the night.

On examination, there was evidence of dehydration (sunken eyes, loss of tissue turgor); his pulse rate was 115 BPM, blood pressure was 95/55 mmHg, respiratory rate was 20 breaths per minute, and his breath smelled of acetone.

1. Comment on the history and findings following the physical examination of Billy.

2. Comment on and interpret the test strip results. Are they consistent with your provisional diagnosis based on the history and physical examination findings?

Answer 1

Question no 1

History and physical examination of biklky

He is having polyuria and nocturia because he is having type 1diabetes

Acetone smell of breath show evidence of ketoacidosis

Body weight loss is due to lack of insulin for the uptake of glucose by the muscle

His vitals are normal

He is having dehydration due to excess loss of fluid by urination caused by type 1 diabetes

Question no 2

Yes the test strip value is ver high and it is due to lack of insulin in type 1 siaby

Diagnosis was type 1 diabetes and physical examination and strip test confirm it