A diabetic patient who has a fruity odor to their breath may ...

[fbq8i]

A diabetic patient who has a fruity odor to their breath may describe a patient:
 
 in cardiac shock
  with Type 2 diabetes
  with ketoacidosis
  with hypoglycemia

Question 2

Failure to dorsiflex the foot on an AP oblique with 45 degree medial rotation will be evidenced by:
 
 closed tibiofibular joint
  closed tibiotalar joint
  distal fibular superimposed with the calcaneus
  closed subtalar joint

[jaygar71]

Answer to Question 1

with ketoacidosis

Rationale: Excess glucose levels in the blood can escalate to formation of keytone bodies causing ketoacidosis. Very high sugar levels will spill over into the urine. A patient who exhibits signs of extreme thirst, urinates frequently and has sweet smelling breath could be life threatening and needs to be medically addressed with insulin and fluids.

Answer to Question 2

distal fibular superimposed with the calcaneus

Rationale: Distal fibula will superimpose the calcaneus when the foot is not dorsiflexed, obscuring potential fracture of the distal fibula.

[fbq8i]

Thanks for the timely response, appreciate it

[tkempin]

TYSM