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A 34 year old male with dka

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box" -Complaints of shortness of breath since two days on and off increased since morning -complains of fever since two days - complains of burning micturition since two days HOPI: Patient was apparently a symptomatic five years back then he was diagnosed with diabetes mellitus for which he was started on oral hypoglycaemic drugs later was advised insulin after two years of usage of oral hypoglycaemic agents patient had similar episode 15 days back and got admitted at private hospit