Hypoglycemia physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance=== | ===Appearance=== | ||
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. | * [[Macrosomia]] in [[infancy]] usually indicates [[congenital hyperinsulinism|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. | |||
==Vitals== | ==Vitals== | ||
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* Staring, "glassy" look | * Staring, "glassy" look | ||
*[[Dilated pupils]] | *[[Dilated pupils]] | ||
==Abdomen== | |||
*[[Hepatomegaly]] may be present | |||
* [[Micropenis]] | |||
==Extremities== | ==Extremities== | ||
Revision as of 16:47, 24 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
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.
Vitals
Temperature
- Hypothermia may be present in newborns
Pulse
Rate
- Tachycardia may be present
Rhythm
- The pulse is regular
Respiratory Rate
- Abnormal breathing may be present
Skin
Eyes
- Staring, "glassy" look
- Dilated pupils
Abdomen
- Hepatomegaly may be present
- Micropenis
Extremities
- Cyanosis may be present in newborns
Neurologic
- Mental status may be altered
- Myoclonic jerks
- Hypotonia
- Ataxia
- Incoordination
- Focal or general motor deficit
- Paralysis
- Hemiparesis