You are examining a 70-year-old female patient with altered mental status. She is awake and can speak. You detect an odor of acetone and suspect that the patient is suffering from:

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The odor of acetone is a key indicator of diabetic ketoacidosis, which is a life-threatening complication of diabetes. It occurs when the body can't produce enough insulin and starts to break down fat for energy, leading to an accumulation of ketones in the blood and urine. Symptoms of diabetic ketoacidosis include altered mental status, fruity breath odor, excessive thirst and urination, nausea, vomiting, and abdominal pain. Treatment involves aggressive hydration, insulin therapy, and correction of electrolyte imbalances.

You Are Examining a 70-Year-Old Female Patient with Altered Mental