Endocrinal emergencies. Dr. Miada Mahmoud Rady. Hyperosmolar Non ketotic coma. Also known as hyperglycemic , hyperosmolar ,Non ketotic coma ( HHNC). Occurs in neglected , uncontrolled diabetes esp. in elderly. Occurs primarily in type 2 diabetes .
Dr. Miada Mahmoud Rady
ii. Delirium and coma
iii. Focal or generalized seizures
iv. Visual and sensory disturbances
Neurological symptoms occurs more with HONK
a. Helps to maintain blood pressure and cardiovascular function
b. Regulates the metabolism of carbohydrates, proteins, and fats
c. Modulates glucose levels
d. Slows the inflammatory response
(a) Blood glucose level rises.
(a) Body proteins are broken down.
(b) Face (“moon face”)
(d) Upper back (“buffalo hump”)
(a) Easy bruising
(b) Pink or purple stretch marks (striae)