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#ir #peds
Etiology
• Endocrine causes: Ketotic hypoglycemia, GH deficiency,
panhypopituitarism, ACTH deficiency, Addisons disease, excess
exogenous insulin
• Nonendocrine
causes: Sepsis/shock, liver disease, ingestion (e.g.
ethanol, salicylates, beta‐blockers), inborn error of metabolism
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endo (day 8)
issues): always (bone age, FSH/LH, EST/TEST, DHEAs/17-hydroxyPRO, TSH/T4), consider (pelvic U/S, MRI head, β-hCG, GnRH/ACTH stimulation) Hypoglycemia (Infants and Children) Definition Plasma glucose (PG) ≤2.8 mmol/L <span>Etiology • Endocrine causes: Ketotic hypoglycemia, GH deficiency, panhypopituitarism, ACTH deficiency, Addisons disease, excess exogenous insulin • Nonendocrine causes: Sepsis/shock, liver disease, ingestion (e.g. ethanol, salicylates, beta‐blockers), inborn error of metabolism Clinical Presentation • Autonomic symptoms: Sweating, weakness, tachycardia, tremor, feelings of nervousness and/or hunger • Neuroglycopenic symptoms: Lethargy, irri


Summary

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