1 Day Of Nausea in Medicine / Internal Medicine — 22yo Man | Endocrinology | SMLE Q#18072

SMLE Question #18072

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 22-year-old man with type 1 diabetes mellitus presents with 1 day of nausea, vomiting, diffuse abdominal pain, and increasing thirst. He has missed insulin for 2 days. He is lethargic, dehydrated, and has deep rapid breathing. What is the most appropriate initial management?

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