Hypoglycemia physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Main signs of hypoglycemia are attacks of diaphoresis, tachycarida, tachypnea, hypertension, hypothermia and neurological deficits. | |||
== Physical examination == | |||
===Appearance=== | ===Appearance=== | ||
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* Staring, "glassy" look | * Staring, "glassy" look | ||
*[[Dilated pupils]] | *[[Dilated pupils]] | ||
===Extremities=== | ===Extremities=== | ||
Revision as of 17:02, 13 July 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Mohammed Abdelwahed M.D[2]
Overview
Main signs of hypoglycemia are attacks of diaphoresis, tachycarida, tachypnea, hypertension, hypothermia and neurological deficits.
Physical examination
Appearance
- Macrosomia in infancy usually indicates hyperinsulinism.
- In older children and adults, moderately severe hypoglycemia can resemble mania, mental illness, drug intoxication, or drunkenness. In the elderly, hypoglycemia can produce focal stroke-like effects or a hard-to-define malaise. The symptoms of a single person do tend to be similar from episode to episode.
Neurologic [1]
- Mental status may be altered
- Myoclonic jerks
- Hypotonia
- Ataxia
- Incoordination
- Focal or general motor deficit
- Paralysis
- Hemiparesis
Vitals
Temperature
- Hypothermia may be present in newborns
- Pulse
- Rate: Tachycardia may be present
- Rhythm: The pulse is usually regular but arrhythmia is fatal if occured.
Respiratory Rate
- Abnormal breathing may be present
Skin
Eyes
- Staring, "glassy" look
- Dilated pupils
Extremities
- Cyanosis may be present in newborns
References
- ↑ Cryer PE, Axelrod L, Grossman AB, Heller SR, Montori VM, Seaquist ER; et al. (2009). "Evaluation and management of adult hypoglycemic disorders: an Endocrine Society Clinical Practice Guideline". J Clin Endocrinol Metab. 94 (3): 709–28. doi:10.1210/jc.2008-1410. PMID 19088155.