Hypoglycemia

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This presentation was present by my friend during emergency posting seminar with Dr.Mohd. Kamal Mohd. Arshad. I upload this ppt here for all of us and my own reference too. Good luck in your life.

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Hypoglycemia

  1. 1. HYPOGLYCEMIA KAMARUDDIN HASAN NASRUDDIN ABDUL RAHMAN 29/10/2009
  2. 2. INTRODUCTION <ul><li>Low blood sugar </li></ul><ul><li>Commonest endocrine emergency </li></ul><ul><li>Brain damage & death can occur in severe prolonged cases </li></ul><ul><li>Can mimic any neurological presentation including coma, seizures, acute confusion or isolated hemiparesis. </li></ul><ul><li>“ Always exclude hypoglycemia in any patient with coma, altered behaviour, neurological symptoms or signs.” </li></ul>OXFORD HANDBOOK OF ACCIDENT AND EMERGENCY MEDICINE, 2 ND EDITION
  3. 3. DEFINITION <ul><li>Deficiency of glucose concentration in the blood which may lead to hypothermia, headache, and more serious neurological problems. </li></ul><ul><li>Plasma glucose <3mmol/L </li></ul><ul><li>Blood glucose < 3.5 mmol/L (63 mg/dl ) </li></ul>DORLAND’S POCKET MEDICAL DICTIONARY, 27 TH EDITION OXFORD HANDBOOK OF CLINICAL MEDICINE, 7 TH EDITION DAVIDSON’S PRINCIPLES AND PRACTICE OF MEDICINE, 20 TH EDITION
  4. 4. TYPES OF HYPOGLYCEMIA POST-PRANDIAL HYPOGLYCEMIA FASTING HYPOGLYCEMIA DIABETIC NON-DIABETIC (EXPLAIN) Ex ogenous drugs P ituitary insufficiency L iver failure A ddison’s Disease I slet cell tumors N on-pancreatic neoplasms Insulin or sulfonylurea treatment Increase activity Missed meal Accidental/ non-accidental overdose Post-gastric surgery T2DM
  5. 5. SIGNS & SYMPTOMS <ul><li>American Diabetes Association lists the following as diabetic emergencies requiring first aid; </li></ul>UNCONCIOUSNESS TREMBLING EXCESSIVE SWEATING SUDDEN HUNGER CONFUSION DISORIENTATION PALE COLOR ANGER BAD TEMPER POOR COORDINATION SUDDEN ONSET SIGNS & SYMPTOMS
  6. 6. CONTINUE….

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