Modalidad de obtención de segunda especialidad sin designación de jurado según Oficio N.° 009-2025–OGYT-FMH/USMP

A 15-year-old adolescent with no significant medical history admitted to the emergency room due to polydipsia, abdominal pain,nausea, vomiting, sudden dyspnea, and chest pain; On admission he was diagnosed with diabetic ketoacidosis in addition tospontaneous penumomediastinum by tomography. It is emphasized that pneumomediastinum associated with ketoacidosis is a rarecomplication but with a favorable evolution in most cases.