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Clinical features of HONK

Authoring team

This diagnosis should be considered in patients with:

  • hyperglycaemia
  • dehydration with marked thirst
  • marked drowsiness

The patient is often old and may be presenting for the first time.

Other features include:

  • convulsions
  • coma
  • focal CNS signs

This condition predisposes to thrombosis.

Hyperventilation is not a feature of HONK.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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