Hypoglycemia physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hypoglycemia}} | {{Hypoglycemia}} | ||
{{CMG}} | {{CMG}} | ||
==Physical Examination== | ==Physical Examination== | ||
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* 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. | * 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=== | ||
===Temperature=== | ====Temperature==== | ||
*[[Hypothermia]] may be present in newborns | *[[Hypothermia]] may be present in newborns | ||
===Pulse=== | ====Pulse==== | ||
====Rate==== | =====Rate===== | ||
*[[Tachycardia]] may be present | *[[Tachycardia]] may be present | ||
====Rhythm==== | =====Rhythm===== | ||
*The pulse is regular | *The pulse is regular | ||
===Respiratory Rate=== | ====Respiratory Rate==== | ||
* Abnormal breathing may be present | * Abnormal breathing may be present | ||
==Skin== | ===Skin=== | ||
* [[Pallor]] | * [[Pallor]] | ||
==Eyes== | ===Eyes=== | ||
* Staring, "glassy" look | * Staring, "glassy" look | ||
*[[Dilated pupils]] | *[[Dilated pupils]] | ||
==Abdomen== | ===Abdomen=== | ||
*[[Hepatomegaly]] may be present | *[[Hepatomegaly]] may be present | ||
* [[Micropenis]] | * [[Micropenis]] | ||
==Extremities== | ===Extremities=== | ||
*[[Cyanosis]] may be present in newborns | *[[Cyanosis]] may be present in newborns | ||
==Neurologic== | ===Neurologic=== | ||
* Mental status may be altered | * Mental status may be altered | ||
*[[Myoclonic jerk]]s | *[[Myoclonic jerk]]s | ||
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{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs | [[Category:Needs overview]] | ||
[[Category:Endocrinology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] | |||
[[Category:Medical emergencies]] | |||
[[Category:Blood tests]] | |||
[[Category:Metabolic disorders]] | |||
[[Category:Disease]] | |||
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Revision as of 19:05, 19 February 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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