Diabetic Ketoacidosis HISTORY_LIST ***** HISTORY OF PRESENT ILLNESS Glucose Level Ketone level Polyuria Polyphagia Fatigue Weakness Weight loss Anorexia emotional stress Physical stress Infection Thirst Dehydration Cough Fever Chills Dysuria Urinary frequency Back pain Chest pain Abdominal pain Dyspnea Nausea Vomiting Pregnancy***** HISTORY PRECIPITATING FACTORS New onset Diabetes Noncompliance Acute illness Trauma Stroke Hyperthyroidism Pentamidine Phenytoin Beta agonists Corticosteroids MEDS_LAB_TESTS ***** MEDS Acetohexamide CAPOTEN Captopril Chlorpropamide DDAVP Desmopressin Acetate DIABINESE DIAPID DYMELOR Glipizide Glucagon Hydrochloride GLUCOTROL Glyburide Lypressin Metoclopramide Hydrochloride MICRONASE ORINASE Osytocin PITRESSIN Pneumococcal Vaccine PNU-IMUNE 23 REGLAN Sodium Bicarbonate Tolazamide Tolbutamide TOLINASE Vasopressin***** LAB Chem -7 Chem-12 Glucose Sodium Potassium Bicarbonate Chloride BUN Createnine Anion gap Triglycerides Phosphate Amylase Lipase Hba1c Magnesium CBC ABG Urine ketones Serum ketones UA Cardiac enzymes ***** TESTS CXR ECG Sputum C&S Blood C&S Serum hCG REVIEW_OF_SYSTEMS_1 History of infections kidney disease myocardial infarcation stroke gastroparesis prior ketoacidosis foot ulcers decreased extremity sensation REVIEW_OF_SYSTEMS_2 VITALS BP Postural BP Pulse Temp GENERAL Conscious Stuporous Unconscious Kussmaul Resp. SKIN decreased Turgor Delayed capillary refill Hyperpigmented atrophic macules on legs Intertriginous candidiasis erythrasma localized fat atrophy Xanthomas HEENT Diabetic retinopathy Neovascularization Cotton wool patches hemorrhages exudates acetone breath odor Decreased visual acuity decreased eye turgor decreased throat moistue flat neck veins neck rigidity REVIEW_OF_SYSTEMS_3 PHYSICAL_EVAL_1 CHEST Crackles Wheezes ABDOMEN Hypoactive bowel sounds gastric dilitation tenderness costovertebral angle tenderness suprapublic tenderness EXTREMITIES Distal Pulses Foot ulcers Cellulitis NEURO Delirium Confusion Peripheral neuropathy Decreased pin sensation Decreased touch sensation Decreased vibration sensation Hypotonia Hyporeflexia PHYSICAL_EVAL_2 DIFF_DIAGNOSIS PRIMARY SECONDARY RULE OUT Diabetic Ketoacidosis Lactic acidosis Alcoholic ketoacidosis Renal insufficiency Methanol ingestion Salicylates Ethylene glycol Paraldehyde