endocrine and metabolic disorders
Hyperosmolar Hyperglycemic State (HHS)
Symptoms and Signs of Hyperosmolar Hyperglycemic State
The primary symptom of hyperosmolar hyperglycemic state is altered consciousness, varying from confusion or disorientation to coma, usually as a result of extreme dehydration with or without prerenal azotemia, hyperglycemia, and hyperosmolality. In contrast to diabetic ketoacidosis, focal or generalized seizures and transient hemiplegia may occur. 