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Diabetes in Children Case Presentation

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Diabetes in Children Case Presentation Presented by Maa n Mesmeh,M.D. Moderator: Dr.Omar Abu Hejleh Reem is a 11 1/2 years old Yemeni girl, presented with history ... – PowerPoint PPT presentation

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Title: Diabetes in Children Case Presentation


1
Diabetes in Children Case Presentation
  • Presented by Maan Mesmeh,M.D.
  • Moderator Dr.Omar Abu Hejleh

2
  • Reem is a 11 1/2 years old Yemeni girl,
    presented with history of
  • Weight loss of 1 month duration. ,associated with
    tiredness decreased activity.
  • Thirst feeling frequent urination for the last
    2 weeks
  • Admitted to a hospital in Yemen found to have
    high blood sugar, referred to Jordan Hospital for
    further management.

3
  • Review of systems
  • History of
  • - Polyphagia.
  • - Vertigo dizziness ,no tinnitus.
  • No history of
  • Headache, abdominal pain, sweating, decrease
    in level of consciousness, heat or cold
    intolerance, change in bowel habit, no skin rash
    or joint pain, hair fall or oral ulcers.

4
  • Past Hx
  • Road traffic accident before 2 years.
  • Family Hx
  • No H/O consanguity.
  • Her uncle with D.M. ( 25 yr old)
  • Development
  • Good school performance.
  • Good communication with other people.
  • No menstruation.
  • SMR

5
Physical Examination
  • T36.5C , H.R100/min , R.R28/min , BP120/80
  • Stature 146 cm (between 25-50th centile).
  • Weight 35 kg (25-50th centile).
  • Conscious, oriented for time, place persons.
  • No signs of respiratory distress.
  • No signs of dehydration.
  • Not jaundiced or pale.
  • Systems examinations within normal.

6
(No Transcript)
7
Lab results
  • WBC 5.28, N 27 , L 63
  • Hb 15.6 , Plt 333,000
  • Blood glucose 264 mg/dl
  • KFT, LFT ABGs were normal
  • S. acetone -ve
  • Hb A1c 14.5, Anti GAD-ve. ICA -ve

8
Hospital Course
  • The patient was placed on diabetic diet plus
    regular glucocheck. She received s.c. mixtard
    according to blood glucose.
  • Blood sugar was controlled her symptoms
    (polydepsia , polyuria , polyphagia , tiredness
    dizziness) were relieved .

9
  • Breakfast Lunch Dinner Bedtime
  • 9/11 B.S 264(admission)
    350
  • Mix ---
    8 U
  • 10/11 B.S213 232 196
    413
  • Mix6 U 4 U 4 U
    4 U
  • 11/11 B.S259 235 343
    242
  • Mix8 U 4 U 10 U
    ---
  • 12/11 B.S285 181 185
    77
  • Mix12 U 2 U 8 U
    ---
  • 13/11 B.S98
  • Mix12 U

10
  • The family the patient were educated about the
    disease , how to check blood glucose how to
    give mixtard s.c.
  • The patient was discharged in good general
    condition to be followed as an outpatient .
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