This is a case of diabetic ketoacidosis with hemorrhagic gastric ulcer. Mortality rates increase when DKA is complicated with upper gastrointestinal bleeding, so it is important to consider this possibility.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8721316PMC
http://dx.doi.org/10.1002/jgf2.463DOI Listing

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