A patient is admitted to the emergency department with suspected hypoglycaemia. Common presenting symptoms of hypoglycaemia can include:

Question

BlackTom AI · Accepted Answer

When considering common presenting symptoms of suspected hypoglycaemia, we evaluate how well each option aligns with typical physiological responses to low blood glucose levels.
Option 1: 'Sweating, pallor, irritability' is consistent with hypoglycaemia. Sweating and pallor reflect sympathetic activation and peripheral vasoconstriction, while irritability or irritability-related mood changes can occur as the brain receives insufficient glucose.
Option 2: 'Hypertension, hunger and bradycardia' does not fit the usual picture. Hypoglycaemia commonly causes tachycardia (not bradycardia) due to sympathetic surge, and while hunger can occur, hypertension is not a standard accompanying sign of acute hypoglycaemia.
Option 3: 'Tachycardia, polymyalgia and sweating' includes tachycardia and sweating, which are plausible, but 'polymyalgia' refers to diffuse muscle pain and stiffness typically linked to inflammatory or rheumatic conditions, not a typical acute hypoglycaemia symptom, making this combination less consistent.
Option 4: 'Bradycardia, sweating and polyuria' includes sweating, yet bradycardia is atypical for acute hypoglycaemia (where rapid heart rate is more common), and polyuria is usually associated with hyperglycemia and diabetes rather than hypoglycaemia, limiting its applicability to an emergency presentation of low glucose.
In summary, while several symptoms can accompany hypoglycaemia, sweating and pallor with irritability most closely match the classic autonomic and neuroglycopenic manifestations observed in an acute hypoglycaemic episode, whereas the other options mix signs that are not typically linked together to this condition.

A patient is admitted to the emergency department with suspected hypoglycaemia. Common presenting symptoms of hypoglycaemia can include:Single choice

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