Hypoglycemia
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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.

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 Hypoglycemia Presentation Transcript

  • HYPOGLYCEMIA KAMARUDDIN HASAN NASRUDDIN ABDUL RAHMAN 29/10/2009
  • INTRODUCTION
    • Low blood sugar
    • Commonest endocrine emergency
    • Brain damage & death can occur in severe prolonged cases
    • Can mimic any neurological presentation including coma, seizures, acute confusion or isolated hemiparesis.
    • “ Always exclude hypoglycemia in any patient with coma, altered behaviour, neurological symptoms or signs.”
    OXFORD HANDBOOK OF ACCIDENT AND EMERGENCY MEDICINE, 2 ND EDITION
  • DEFINITION
    • Deficiency of glucose concentration in the blood which may lead to hypothermia, headache, and more serious neurological problems.
    • Plasma glucose <3mmol/L
    • Blood glucose < 3.5 mmol/L (63 mg/dl )
    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
  • 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
  • SIGNS & SYMPTOMS
    • American Diabetes Association lists the following as diabetic emergencies requiring first aid;
    UNCONCIOUSNESS TREMBLING EXCESSIVE SWEATING SUDDEN HUNGER CONFUSION DISORIENTATION PALE COLOR ANGER BAD TEMPER POOR COORDINATION SUDDEN ONSET SIGNS & SYMPTOMS
  • CONTINUE….