Answer 8

8.  Choice C is the correct answer.  Diabetic ketoacidosis is still within the differential on this patient and needs to be considered.  With a glucose over 250, abdominal pain, nausea, and vomiting, ketosis can be a culprit.  The patient does not need a general surgery consult at this point, but needs to be admitted to the hospital for aggressive IV hydration and correction of the metabolic acidosis.  This patient should not be discharged.