Diagnostic Tests for Insulinoma
Insulinoma Tests: Book Excerpts
Home Diagnostic Testing
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Insulinoma Diagnosis: Book Excerpts
Diagnostic Tests for Insulinoma: Online Medical Books
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for more information about the diagnostic tests for Insulinoma.
HYPOGLYCEMIA:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
The finding of hypoglycemia on routine blood analysis requires nothing in an asymptomatic patient. If there is doubt, a repeat analysis should be done. If the patient is symptomatic, a 5-hr glucose tolerance test or hospitalization for repeated blood sugar during a 72-hr fast should be done. If these are negative, the patient most likely has functional hypoglycemia. Additional tests to order include a T
4
, plasma, cortisol, plasma growth hormone assay, plasma proinsulin, C-peptide, plasma insulin, CT scan of the abdomen, and a tolbutamide tolerance test. Obtain an endocrinology consult.
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Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
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