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A diabetic patient is being operated for cholecystectomy. During surgery patient developed bradycardia and severe hypotension which does not respond to atropine and ephedrine/mephenteramine. The most probable cause is:
|D||Non ketotic hyperosmolar coma|
Diabetic patient who has autonomic neuropathy can develop bradycardia and hypotension which does not respond to treatment. So autonomic neuropathy must be ruled out in diabetic patient as a rule.