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Medicine

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Endocrine

Question
4 out of 15
 

Hypoglycemia is a recognized feature of all of the following conditions, except:



A Uremia
B Acromegaly

C Addison's disease
D Hepatocellular failure

Ans. B

Acromegaly

(Ref. Hari, 18th ed., Table 345.1 Pg 3003) Causes of Hypoglycemia

Fasting (Postabsorptive) Hypoglycemia

1). Drugs: Insulin, sulfonylureas, ethanol, Quinine, pentamidine, Salicylates, sulfonamides

2). Critical illnesses

a. Hepatic, renal, or cardiac failure

b. Sepsis

c. CRF

3). Hormone deficiency:

a. Cortisol (Addison’s)

b. Growth hormone (Hypopituitarism)

c. Glucagon deficiency

d. Epinephrine deficiency (in insulin-deficient diabetes)

4). Non-beta-cell tumors: Hepatomas, adrenocortical carcinomas, carcinoids

5). Endogenous hyperinsulinism: Insulinoma

6). Autoimmune (autoantibodies to insulin or the insulin receptor)

7). Ectopic insulin secretion

Reactive (Postprandial) Hypoglycemia

1). Alimentary (postgastrectomy)

3). Following Roux-en-Y-gastric bypass

2). Hereditary fructose intolerance, galactosemia

4). Idiopathic

Treatment.

1). If patient is conscious Treat with oral sugar, (Food of high glycemic index)

2). If patient cannot swallow than give 25-50ml 50% glucose IV

3). If patient not conscious & is not able to swallow give Glucagon 1mg I/M

Endocrine Flashcard List

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