BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 发汗
  • 焦虑
  • 震颤
  • 饥饿

其他诊断因素

  • 原因不明的体重升高
  • 原因不明的体重下降
  • 色素过度沉着
  • 低血压

危险因素

  • 中年
  • 女性
  • 胰岛素瘤
  • 外源性胰岛素

诊断性检查

首要检查

  • 血清葡萄糖
  • 肝功能检查
  • 肾功能检查
  • 血清胰岛素
全部具体信息

需要考虑的检查

  • 观察下 48-72 小时禁食
  • 口服葡萄糖耐量检查
  • 血清 IGF-II
  • 血清 ACTH
全部具体信息

治疗流程

贡献者

Professor of Medicine

University of Iowa

Des Moines Internal Medicine Residency Training Program

Staff Endocrinologist

Veterans Affairs Medical Center

Des Moines

IA

利益冲突披露
UK is an author of a number of references cited in this monograph. UK declares that he has been a member of a speakers' panel and advisory board for Sanofi, and has received a research grant from this company.

Professor Udaya Kabadi would like to gratefully acknowledge Dr Steven Kunkel, a previous contributor to this monograph. SK declares that he has no competing interests.

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Section Chief

Renal and Hypertension

Professor of Medicine

Division of Nephrology

Department of Medicine

Loyola University School of Medicine and Edward Hines Jr VA Medical Center

Hines

IL

利益冲突披露
DJL declares that he has no competing interests.

Assistant Professor

Johns Hopkins University School of Medicine

Baltimore

MD

利益冲突披露
SB declares that he has no competing interests.

Clinical Director/Clinical Lead for Diabetic Medicine

King’s College Hospital NHS Foundation Trust

London

利益冲突披露
DH declares that he has no competing interests.

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