Wednesday, August 12, 2015

INSULINOMA


HYPERINSULINISM (INSULNOMA)

Seventy five percent of patients with symptoms of hyperinsulinism
have a benign adenomas

CLINICAL MANIFESTATIONS

The lesion occurs most often from the fourth to seventh decade of
life.  Symptoms may take one of two general forms.

*  Sweating,  hunger, weakness, tachycardia and inward  trembling
   results from an acute fall of blood sugar.

*  Slower  decrease in blood sugar produces  "cerebral"  symptoms
   such  as  headache,  mental  confusion,  visual   disturbances
   convulsions and coma.

DIAGNOSIS

Whipple's triad consists of attacks

*  precipitated by fasting or exertion
*  fasting blood sugar below 50 mg/100 ml and
*  symptom  relieved  by oral or  intravenous  administration  of
   glucose

TREATMENT

Removal of the benign lesion.

Any questions be sent to drmmkapur@gmail.com
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