Hypoglycemia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
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
Abdomen
- Hepatomegaly may be present
- Micropenis
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.