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Mr. Raman, a 54-year-old man was brought to the emergency department with unconscious level and increased respiratory rate for the last 4 hours. He is having a history of uncontrolled diabetes mellitus past 15 years, as he was not following any medical advice from a physician.
He was on insulin therapy for 3 years, but he was not taking regular doses of insulin. The patient’s relative is telling that he is also having to complain of weakness and decrease urine output for the last 2 days. On General examination, the physician noted that Mr. Raman had the following signs and symptoms:
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