38 yo M pmh brain ca currently under treatment p/w sob, tachpnea, and diaphoresis. You get an initial lactate 6.0 with a FS of 680. What is your diagnosis?

A: Steroid Induced DKA

Cancer patients are often on steroids to reduce inflammation but can have adverse effects such as DM or in this case DKA.

 

In an effort to curb obesity and diabetes say goodbye to super sized sodas

“states sugary beverages with more than 25 calories per eight ounces can only be sold in portions of 16 ounces or less. The regulation will apply to any food service establishment that is regulated by the Department of Health and Mental Hygiene: restaurants, mobile food carts, delis and concessions at movie theaters, stadiums and arenas.”

http://www.nytimes.com/2012/09/14/nyregion/health-board-approves-bloombergs-soda-ban.html

http://www.nyc.gov/portal/site/nycgov/menuitem.c0935b9a57bb4ef3daf2f1c701c789a0/index.jsp?pageID=mayor_press_release&catID=1194&doc_name=http%3A%2F%2Fwww.nyc.gov%2Fhtml%2Fom%2Fhtml%2F2012b%2Fpr326-12.html&cc=unused1978&rc=1194&ndi=1

thank you to Dr. Richardson for insight into soda ban

 

some light reading (did you consider the following when choosing EM?)

 

http://ahyesmedschool.blogspot.com/2005/08/nswthaigtdwml-o-meter.html