Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of polyuria, polydipsia, and polyphagia associated with unintentional weight loss over the past [X] weeks. Associated symptoms include fatigue, blurred vision, and nocturnal enuresis. No history of fever, vomiting, or abdominal pain. No known family history of autoimmune disorders.
Clinical Examination Findings
General: Patient appears [well-nourished/ill-appearing], alert and oriented. HEENT: Mucous membranes are [dry/moist], no signs of thrush. Cardiovascular: Regular rate and rhythm, no murmurs. Respiratory: Clear to auscultation, no tachypnea or Kussmaul breathing. Abdomen: Soft, non-tender, non-distended, bowel sounds present. Skin: Turgor is [normal/decreased], no rashes or lesions noted. Neurological: Intact, no focal deficits.
Treatment Protocol
Initiate insulin therapy per weight-based protocol (basal-bolus regimen). Administer initial fluid resuscitation if dehydrated. Monitor capillary blood glucose (CBG) every 2-4 hours. Screen for ketones in urine/blood. Initiate diabetes education, including insulin administration, glucose monitoring, and hypoglycemia management. Refer to pediatric endocrinology and diabetes educator.