Hypoglycaemia
Treat complications: hypoglycaemia (IV 10% dextrose), anaemia (blood transfusion if the haemoglobin is below 7 g/dL), convulsions (magnesium sulphate if eclampsia cannot be ruled out, or diazepam), and fever (paracetamol and tepid sponging).
What our notes say
- Treat complications: hypoglycaemia (IV 10% dextrose), anaemia (blood transfusion if the haemoglobin is below 7 g/dL), convulsions (magnesium sulphate if eclampsia cannot be ruled out, or diazepam), and fever (paracetamol and tepid sponging). (Junior Clerkship in Reproductive Health (MBOG 4200): end of year examination, 4 )
- Oxygen if SpO2 is under 90%, and treat hypoglycaemia and seizures. (Integrated case paper: Medicine, Surgery, Gynaecology and Paediatrics (160 marks)
- They have little glycogen and fat, so hypoglycaemia and hypothermia are the main risks. (Paediatrics Year 4 MBChB end of semester CAT: triage, newborn care, growth and d)
- Severe hypoglycaemia, which may lead to seizures, is frequently observed (Paediatrics end of second semester exam (MBPE 4300): 4 October 2022, cardiology,)
- Option A is also false, because severe malaria causes hypoglycaemia, so the question has two wrong statements. (Paediatrics Year 6 MBChB end of semester CAT: clinical case MCQs, 29 of 30 quest)
- Prevention and correction of hypoglycaemia is the first step in the management of the child (Paediatrics Year 6 MBChB end of semester CAT: clinical case MCQs, 29 of 30 quest)
Study material on Hypoglycaemia
- Internal Medicine 4th Year Endocrinology CAT: 30 MCQs
- Internal Medicine (MBIM 4100) special/supplementary exam, Paper Two: 14 August 2019
- Paediatrics end of fourth year special supplementary exam: August 2019, Paper One, 87 of 100 MCQs
- Paediatrics Year 6 MBChB end of semester CAT: clinical case MCQs, 29 of 30 questions
- Sepsis and septic shock
- Endocrine & Renal Pathology
Practice questions on Hypoglycaemia
A patient has recurrent fasting hypoglycaemia relieved by glucose. During symptoms, insulin is inappropriately high. Most likely tumour:
- Glucagonoma
- Insulinoma
- Somatostatinoma
- VIPoma
- Gastrinoma only ✅ Answer: B
Answer: A. Recurrent fasting hypoglycaemia with inappropriately high insulin levels that is relieved by glucose is the classic presentation of an insulinoma.