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Hyperosmolar Hyperglycemic Nonketotic Coma

Emergency Medicine Clinics of North America, 1989
HHNC is a syndrome of abnormally high serum glucose and osmolality coupled with depressed consciousness and an absence of ketoacidosis. It represents as many as 20 per cent of all cases of severe hyperglycemia and constitutes a life-threatening medical emergency; however, the absence of acidosis and the insidious presentation of the disorder frequently
D W, Pope, D, Dansky
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Hyperglycemic hyperosmolar nonketotic coma

The Journal of Emergency Medicine, 2001
Dr. Michael Filbin: Today’s case is that of a 46-yearold woman found unconscious on the floor of her apartment by her boyfriend who immediately called 911. Upon paramedic arrival the patient was noted to be unresponsive, lying on the bedroom floor. The boyfriend told paramedics that she had a history of bipolar disorder for which she took Valproic Acid.
M R, Filbin, D F, Brown, E S, Nadel
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