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Question
A woman is brought to the emergency department by her husband. She has insulin-dependent diabetes with a history of medical noncompliance and missed medical appointments. The patient's husband is attentive and hovers by her side. She presents as possibly malnourished and dehydrated. She is crying and refusing to look at the provider, and her husband answers all the questions. When the provider asks him to leave the room so the patient can be assessed, the husband becomes angry and refuses. What must be considered as part of a differential diagnosis, in addition to diabetic management and noncompliance?
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