Jean Ann Hoffman is a 35-year old white female with a 20-year history of insulin-dependent diabetes mellitus. She smokes a pack a day. Her boyfriend tells you that she has had a bad cough for the last week. Last night she began to sweat "something fierce," and was going to the bathroom all night long. The medical student reports that the patient tilted. Her presenting weight is . What are your instructions, doctor? Press "Q" to continue. ..page Margaret Brimsby is a 40-year old black female with a 13-year history of insulin-dependent diabetes mellitus. Her husband tells you that she has had a fever and diarrhea for the last 3 days. This morning she felt much weaker and began to urinate more frequently. Margaret does not smoke. The medical student reports that the patient tilted. Her presenting weight is . What are your instructions, doctor? Press "Q" to continue. ..page Ruth Barr is a 17-year old white female with no past medical history of diabetes. According to her older brother, "Baby Ruth" had been feeling fine until this evening when he found her in her bedroom, "totally out of it." After spending almost an hour looking for his car keys, he brought her to your emergency room. The medical student reports that the patient tilted. Her presenting weight is . What are your instructions, doctor? Press "Q" to continue. ..page Karen Adler is a 29-year old white female with a five-year history of insulin-dependent mellitus and a penchant for chocolate chip cookies. She reportedly passed out briefly at work, then went home for a few hours before a friend brought her to your emergency room. The medical student reports that the patient tilted. Her presenting weight is . What are your instructions, doctor?
