Unresponsive: A Case of Hyperglycemia and Altered Mental Status

被引：0

作者：

Sorcher, Jill L. ^{[1
]}

Badaki-Makun, Oluwakemi ^{[2
]}

Ngo, Thuy L. ^{[2
]}

机构：

[1] Johns Hopkins Sch Med, Baltimore, MD USA

[2] Johns Hopkins Sch Med, Dept Pediat, Div Emergency Med, Baltimore, MD USA

来源：

CLINICAL PEDIATRIC EMERGENCY MEDICINE | 2019年 / 20卷 / 04期

关键词：

Altered mental status; hyperglycemia; hyperglycemia hyperosmolar syndrome; diabetic ketoacidosis; DIABETIC-KETOACIDOSIS; HYPEROSMOLAR SYNDROME; NONTRAUMATIC COMA; CHILDREN; ETIOLOGY; ADOLESCENT; GUIDELINES; MANAGEMENT;

D O I：

暂无

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Altered mental status is an emergency that significantly contributes to morbidity and mortality in children, and thus, requires rapid and thorough evaluation. Identification of the underlying cause of altered mental status is crucial for appropriate clinical management. With a presentation of hyperglycemia and a family history of diabetes mellitus type 2, an astute physician would consider metabolic encephalopathy as the cause of altered mental status. We describe a critical case of altered mental status in a 14-year-old obese male adolescent with no history of chronic illness or surgeries who presented to the emergency department with hyperglycemia.

引用

页数：5

共 23 条

[21] The International Society of Pediatric and Adolescent Diabetes guidelines for management of diabetic ketoacidosis: do the guidelines need to be modified? [J].