Labels:chat room | hakham | laptop | sky | web site OCR: DIAGNOSIS AND TREATMENT OF HYPERINSUL INISM suspect hypoglycaemia as cause of symptoms confirm presence of fasting hypoglycaemia demonstrate failure of endogenous insulin secretion to suppress during insulin induced hypoglycaemia establish inappropriate insulin (or proinsulin) secretion during spontaneous hypoglycaemia determine insulin:proinsulin ratio attemp localise tumour (aduits ony arteriography scintigraphy percutaneous trans hepatic portal iv CT scanning ultrasound short term therapeutic trial'of diazoxide on insulin secretion and blood concentration institute appropriate definitive therapy and observe results adults children solitan insulinoma institute diazoxide surgical ablation plus chlorothiazide therapy metastatic insulinoma partial 60% 85% pancreatectomy loca ablation plus c ...
(.png)
