Paul ridges a 264174 past medical history pancreatic acid iron insufficiency pseudohyponatremia <\n> Multiple presentations with diabetic ketoacidosis in february 25 june '20 '20 '4 the garage and explode in his face they said type 1 diabetes note diagnosed in 1993 obviously has new life okay no other injuries injuries from his foot when he hops again <\n> Off the back of his neck and his face and those are the only 3 for 4 hours oh he was due to a yeah diabetic retinopathy probably now close to a hundred both pre proliferative and background milligrams in my dad's just to try and smooth that dry back as well oh she's still very active changes but when he's not kept on eyes he's fully aware of when he's true january 2024 not concerned about the airway at the moment so kefin has been working for the pain relief and it is purely because of the flash burn and his colleagues said that his face was on fire mri head at this time demonstrating infarcts in the right coronary artery and cerebellar firmus leading to left arm and leg weakness medication history tolvastatin 80 mg in the evening clopidogrel 75 mg in the morning <\n> Bs 4 units 3 times a day 4 to 6 units 3 times a day <\n> Nicotine patches in the morning <\n> Sertraline 100 mg in the evening <\n> Thiamine 100 mg 3 times a day <\n> 2 gooo that's t o u j e o 16 weeks and a like investigations demonstrating crp 22 with neutrophils 20.2 and white cells 24.2 <\n> Hemoglobin 117 with low red cell counts but normocytosis <\n> Inr naught 0.8 <\n> Lfts alp 1 3 9, albumin 39 full stop <\n> Creatinine 276 open brackets aki 2 baseline creatinine 70 <\n> Urea 16.9 <\n> Potassium 5.8 with sodium 122 excellent you got any oh hi sorry think I've got a couple of so I've transferred it thanks extensive pancreatic calcification replacing the entire pancreatic parenchyma with no focal focal abnormalities seen in march 2025 also in the past medical history previous perianal abscess and pinealoidal abscess requiring drainage investigations venous blood gases initial ph 6.987 with glucose 46 subsequent 2 hours following ph 7.08 glucose still very high potassium 7.2 on this gas let's go to sleep now ecg sinus rhythm normal score 5 is it mister ridges mister ridges hello it's rob here 1 of the doctors how are you are you okay how are you feeling feeling alright so you got good regular pulses on the monitor heart rate 92 sats 99% blood pressure a 16 over 50 normal heart sounds chest is clear can I see your tongue poor thing quite thin on the legs with crusting venous ulcer on the left shin have a look around your bum alright incision during your site of previous pineal side is noted but no current infection seen there abdomen soft and nontender are you okay I'm rob 1 of the doctors just come here to see how you're doing how are you feeling can I see your tongue dry mucous membranes so impression diabetic ketoacidosis you okay secondary to alcohol excess self neglect we'll take exclude infection as planned we'll do a chest x-ray give you some nicotine replacement and do a we'll continue our protocol to treat diabetic ketoacidosis with intravenous fluids in addition metformin for full escalation itu review if blood gas is not improving diabetes review continue long acting insulin