In this episode, we explore the complexities of diagnosing and managing a pediatric patient presenting with lethargy, weight loss, and abdominal pain. Join us as we navigate the differential diagnoses—including diabetic ketoacidosis (DKA)—and discuss a comprehensive approach to history taking, physical examination, and immediate stabilization. We also delve into the importance of empathy and education in post-discharge management, equipping families with the tools they need for long-term care. This episode is an in-depth look at clinical vigilance and compassionate patient care in pediatrics.