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🩺 Doctor to Doctor: Ever considered using your sense of smell for diagnosis?
Our clinical senses are powerful tools, especially in a busy OPD. A patient's breath odor can offer instant clues to serious underlying conditions. Here’s a quick recap of these classic bedside signs:
👃💨 Acetone (Fruity) Smell: Strong indicator for Diabetic Ketoacidosis (DKA). Always check for signs of dehydration.
🐟 Ammonia (Fishy) Smell: Points towards Uremia from kidney failure. Look for associated anemia and pallor.
🐭 Musty/Mousy Smell (Fetor Hepaticus): A classic sign of severe Liver Failure. Check for jaundice and other signs of liver disease.
These are invaluable, non-invasive clues that can guide your immediate investigations and management plan.
💡 The video asks a great question for all of us: What is the FIRST and most crucial step in the management of a DKA patient?
Let's see what the consensus is in the comments! 👇
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