Type 2 Diabetes Mellitus in Medicine / Internal Medicine — 60yo Man | Critical Care | SMLE Q#7943
SMLE Question #7943
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 presents after several hours of profuse vomiting and poor oral intake. He is lethargic but arousable, with cold, clammy extremities and delayed capillary refill. Neck veins are flat, and lung examination is clear without added sounds. A pulmonary artery catheter is placed. What is the most likely diagnosis?
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