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Medicine General d578c856

Two most impoant test to be done in a comatose patient with blood glucose of 750mg/d1 will be:

A
Serum creatinine
B
Serum sodium
C
CSF examination
D
All
High-Yield Explanation
Answer is A (Serum creatinine) Presence of blood glucose of 750mg/d1 in a comatose patient suggests a possible diagnosis of non ketotic "hyperglycemic coma or diabetic ketoacidosis. Amongst the options provided estimation of blood pH will help establish a diagnosis of diabetic ketoacidosis while estimation of serum creatinine will help in establishing a diagnosis of hyperosmolar non ketotic coma as prerenal azotema is a characteristic feature of the latter.

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