Unresponsive: A Case of Hyperglycemia and Altered Mental Status

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Abstract

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.

Original languageEnglish (US)
Article number100726
JournalClinical Pediatric Emergency Medicine
Volume20
Issue number4
DOIs
StatePublished - Dec 2019

Keywords

  • Altered mental status
  • diabetic ketoacidosis
  • hyperglycemia
  • hyperglycemia hyperosmolar syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine

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