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Case Discussion on Hyperglycemic Emergencies
Patients with both type 1 and type 2 diabetes mellitus may experience acute metabolic consequences such as diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS). Effective management, thorough clinical and biochemical examination, and prompt diagnosis are essential for the successful treatment of DKA and HHS. Coordinating fluid resuscitation, insulin therapy, electrolyte replacement, and constant patient monitoring while using the available laboratory tests to forecast the resolution of the hyperglycemic crisis are essential parts of managing hyperglycemic crises. To lower the risks of complications, it's critical to comprehend and promptly recognise potential unusual scenarios including DKA or HHS presentation in the comatose state, the potential for mixed acid-base disorders to obscure the diagnosis of DKA, and the risk of cerebral edema during therapy.
About the Speaker

Dr. Aklesh Tandekar
CRITICAL CARE SPECIALIST MD, EDIC, IDCCM, FIMSA, DA, FCPS, FISCCM
Upcoming Case Discussions
Endometriosis and Infertility
Endometriosis is a condition where tissue similar to the lining of the uterus grows outside of it, often affecting the ovaries, fallopian tubes, and pelvic organs. This disorder can cause painful periods, pelvic pain, and, in many cases, infertility. The presence of endometrial-like tissue outside the uterus can disrupt normal reproductive function by causing inflammation, scarring, and adhesions, which can interfere with ovulation, fertilization, and embryo implantation. Approximately 30-50% of women with endometriosis experience infertility, making it one of the leading causes of reproductive challenges in affected individuals. However, treatment options like surgery, medication, or assisted reproductive technologies can help improve fertility outcomes.
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Endometriosis, a condition where endometrial-like tissue grows outside the uterus, can significantly impact fertility. It causes inflammation, scarring, and adhesions that may distort pelvic anatomy, block fallopian tubes, and impair ovarian function. Endometriosis is also linked to hormonal imbalances and poor egg quality, reducing the chances of conception. Symptoms like chronic pelvic pain and painful intercourse further complicate fertility. Diagnosis often requires laparoscopy, while management includes pain relief, hormonal therapy, and assisted reproductive techniques like IVF. Early intervention with medical or surgical treatment can improve reproductive outcomes, but severe cases may necessitate advanced fertility treatments for conception.
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Abnormal Uterine Bleeding: Diagnosis and Management
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