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Is the patient taking oral hypoglycemia drugs or insulin? If so, the dosage may be too high.
Is there a history of weight gain and/or episode of loss of consciousness? This would strongly suggest an insulinoma is the cause.
... DIAGNOSTIC WORKUP
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Hypoglycemia causes release of glucagon, growth hormone, and catecholamines, which rapidly mobilize liver glycogen to provide fuel (elevated epinephrine causes the symptoms of hypoglycemia). Hypoglycemia rapidly causes neurologic dysfunction (may be irreversible),... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Low back pain is the second most common cause of doctor visits in the U.S. and is the most common cause of disability. Up to 90% of the population will experience back pain during their lives. Studies show that, at any given time, up to 20% of the population is experiencing low back... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Hypoglycemia is defined by venous plasma glucose below 60 mg/dL. Normally, the body has several mechanisms that prevent hypoglycemia during fasting. Recurrent hypoglycemia suggests a defect in one of these fasting systems. The brain relies on glucose as an energy source; in... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... A list of possibilities for hypoglycemia may be had simply by thinking of the endocrine glands. Consequently, thinking of the pancreas one could recall an insulinoma. Thinking of the adrenal gland, one would recall Addison disease. Considering the pituitary one would remember
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... Nothing is more challenging to diagnose than a case of low back pain. That is why it is so important to have an extensive list of causes in mind before approaching the patient. Anatomy forms the basis for developing such a list ( Table 45 ).
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... Two groups of neonates are born weighing less than the normal minimum birth weight of 5½ lb (2,500 g) — those who are born prematurely (before 37 weeks’ gestation) and those who are small for gestational age (SGA). Premature... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Fasting Hypoglycemia
Overutilization of glucose
Autoimmune
Antiidiotypic antibodies to antiinsulin antibodies
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... Nutrient Deficiency
Iron deficiency
Chronic blood loss
Pregnancy
Dietary deficiency
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... Hypoglycemia is an abnormally low glucose level in the bloodstream. It occurs when glucose burns up too rapidly, when the glucose release rate falls behind tissue demands, or when excessive insulin enters the bloodstream. Hypoglycemia is classified as reactive or fasting. Reactive... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Two groups of neonates are born weighing less than the normal minimum birth weight of 5˝ lb (2,500 g)—those who are born prematurely (before the 37th week of gestation) and those who are small for gestational age (SGA). The premature neonate... Emergency Interventions ... History and physical examination ... Medical causes ... Special considerations ... Pictures
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... Stephen Davis
Approach Low back pain is a common problem with many causes. The differential diagnosis can be grouped into three over-lapping categories: urgent (“red flag”) diagnoses, structural (musculoskeletal)... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Musculoligamentous strain
❑ Lumbar disc herniation
❑ Osteoarthritis
❑ Compression fracture... Diagnostic Approach ... Clinical Findings ... Pictures
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... An abnormally low glucose level in the bloodstream, hypoglycemia occurs when glucose burns up too rapidly, when the glucose release rate falls behind tissue demands, or when excessive insulin enters the bloodstream.
... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Two groups of neonates are born weighing less than the normal minimum birth weight of 51⁄2 lb (2,500 g)—those who are born prematurely (before 37 weeks' gestation) and those who are small for gestational age (SGA). Premature... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
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Nothing is more challenging to diagnose than a case of low back pain.
That is why it is so important to have an extensive list of causes in mind
before approaching the patient. Anatomy forms the basis for
developing such... Pictures
... READ EXCERPTS »
...
A list of possibilities for hypoglycemia may be had simply by thinking
of the endocrine glands. Consequently, thinking of the pancreas one
could recall an insulinoma. Thinking of the adrenal gland, one would recall
Addison disease. Considering the pituitary... Pictures
... READ EXCERPTS »
... Author:
Sophia Smith, MD
What to Do - Gather Appropriate Data
Type 1 diabetes mellitus is a condition resulting from destruction of the beta
cells in the islets of Langerhans of the pancreas. This results in medically
significant symptoms of hyperglycemia,... Suggested Reading
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... Author:
William Giasi, Jr., MD
What to Do - Interpret the Data
In infants and toddlers, signs and symptoms of hypoglycemia can often be
vague and subtle. Given the subtle and nonspecific findings of the signs and
symptoms,... Suggested Readings
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... Author:
Esther Forrester, MD
What to Do - Interpret the Data
IgA deficiency is the most common primary immunodeficiency, with an
occurrence ranging from 1/400 to 2,000 individuals. The frequency of IgA
deficiency... Suggested Readings
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... Author:
Heidi Herrera, MD and Nickie Niforatos, MD
What to Do - Gather Appropriate Data
Glucose is the major source of energy for tissue metabolism, particularly
in the brain, where lack of alternate energy stores makes glucose an... Management ... Suggested Reading ... Pictures
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... Author:
Caroline Rassbach, MD
What to Do - Interpret the Data
Seizures are one of the most common neurologic conditions affecting children. The majority are short, self-limited seizures that occur secondary to
disorders originating outside the brain.... Suggested Readings
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... Vaneeta Bamba, MDDiva D. De León-Crutchlow, MD Hyperinsulinism/Hypoglycemia - BASICS Hyperinsulinism/Hypoglycemia - description Hyperinsulinism (HI) is a disorder of dysregulated insulin secretion characterized by excessive and/or inappropriate... Hyperinsulinism/Hypoglycemia - DIAGNOSIS ... Hyperinsulinism/Hypoglycemia - TREATMENT ... Hyperinsulinism/Hypoglycemia - FOLLOW UP ... Hyperinsulinism/Hypoglycemia - bibliography ... Hyperinsulinism/Hypoglycemia - CODES ... Hyperinsulinism/Hypoglycemia - FAQ
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