Hypoglycemia physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Physical Examination
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.
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
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