## **Core Concept**
The question presents a case involving a child with nocturnal enuresis (bed wetting) and loose deciduous teeth, alongside a history of polydipsia (excessive thirst). These symptoms suggest a condition affecting glucose regulation and possibly dental health.
## **Why the Correct Answer is Right**
The symptoms described—nocturnal enuresis (bed wetting), polydipsia (excessive thirst), and loose deciduous teeth—are classic for **Diabetes Mellitus**, specifically **Type 1 Diabetes Mellitus** which is common in children. The excessive glucose in the urine (glycosuria) can lead to an osmotic diuretic effect, causing polyuria (excessive urine production) and nocturnal enuresis. The loose teeth can be attributed to the possible presence of **ketones** and acidosis, which can affect the periodontal ligament and lead to tooth mobility.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is not provided, but typically, conditions not directly related to metabolic disorders or those not matching the symptom profile would be incorrect.
- **Option B:** Similarly, without the specific content of Option B, we can infer that any condition not aligning with the symptoms of diabetes mellitus (e.g., a condition not causing polydipsia, polyuria, and dental issues) would be incorrect.
- **Option C:** Again, without specifics, any alternative diagnosis not supporting the constellation of symptoms presented (nocturnal enuresis, polydipsia, loose teeth) would not be correct.
- **Option D:** This option is also unspecified but presumably does not align with the clinical presentation of diabetes mellitus.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that **Type 1 Diabetes Mellitus** in children can present with the classic symptoms of **polydipsia**, **polyuria**, and **weight loss**, alongside less common presentations like loose teeth due to metabolic disturbances. Early recognition is crucial for preventing complications.
## **Correct Answer:** .
Free Medical MCQs · NEET PG · USMLE · AIIMS
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