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Updated: Jun 1 2017

Hyperosmolar Nonketotic Coma

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https://upload.medbullets.com/topic/107057/images/f1.large.jpg
  • Introduction
    • Complication of type II diabetes
      • the concentration of insulin required to prevent ketoacidosis is lower than the concentration required to adequately control glucose levels
    • Seen most commonly in older patients with concurrent cardiac and renal pathology
  • Presentation
    • Symptoms
      • shock
    • Physical exam
      • altered mental status
      • signs of dehydration (skin turgor, dry mucous membranes)
  • Prognosis, Prevention, and Complications
    • High mortality (up to 50%)
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