Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 60yo Man | Critical Care | SMLE Q#10243

SMLE Question #10243

Medicine / Internal Medicine Critical Care

Objective: OBJ-308

Last updated: February 2026
A 60-year-old man with type 2 diabetes mellitus and ischemic heart disease has profuse vomiting and diarrhea for 1 day. He develops cool, clammy extremities and reduced urine output. A pulmonary artery catheter is inserted, and the hemodynamic measurements are shown below. What is the most likely diagnosis?

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