A 42-year-old woman was admitted with lightheadedness, chills, and shakiness. The onset of the symptoms was from 1 year ago. This symptom improved after eating candy or fruit juice... A 42-year-old woman was admitted with lightheadedness, chills, and shakiness. The onset of the symptoms was from 1 year ago. This symptom improved after eating candy or fruit juice. Initial laboratory testing revealed a blood glucose level of 30-40 mg/dl. The patient was admitted for management for hypoglycemia. Blood tests evidenced high insulin and c-peptide levels despite low plasma glucose level. Endoscopic ultrasonography revealed a pancreatic mass.
Understand the Problem
The question presents a clinical scenario involving a 42-year-old woman with symptoms related to hypoglycemia, including low blood sugar levels, high insulin levels, and the discovery of a pancreatic mass. The high level of detail suggests it is likely related to a medical case study or exam question, focusing on diagnosing an underlying condition, potentially an insulinoma.
Answer
Insulinoma, a pancreatic tumor causing excessive insulin production.
The final answer is Insulinoma, a pancreatic tumor causing excessive insulin production.
Answer for screen readers
The final answer is Insulinoma, a pancreatic tumor causing excessive insulin production.
More Information
Insulinomas are rare tumors of the pancreas that produce excessive insulin, leading to hypoglycemia. Patients often experience symptoms such as dizziness, lightheadedness, and shakiness, which may improve with sugar intake. Diagnosis often involves imaging to identify the pancreatic mass.
Tips
A common mistake is to overlook the significance of high insulin and c-peptide levels together, which indicates endogenous insulin production.
Sources
AI-generated content may contain errors. Please verify critical information
