Hyperosmolar Hyperglycaemic State
Hyperosmolar hyperglycemic state (HHS) is a complication of diabetes mellitus in which high blood sugar results in high osmolarity without significant ketoacidosis. The Symptoms of HHS are altered level of consciousness, neurologic signs including: blurred vision, headaches, focal seizures, myoclonic jerking, reversible paralysis, motor abnormalities including flaccidity, depressed reflexes, tremors or fasciculations, hyperviscosity and increased risk of blood clot formation, dehydration, weight loss, nausea, vomiting, weakness, low blood pressure with standing and abdominal pain. The Diagnosis of HHS are plasma glucose level, serum osmolality, profound dehydration, serum pH, bicarbonate, BUN, creatinine.
- Track 1-1 Cerebral edema
- Track 2-2 Lactic acidosis
- Track 3-3 Cushing syndrome
- Track 4-4 Hyperthermia
- Track 5-5 Hypothermia
- Track 6-6 Mesenteric thrombosis