Hypoglycemia other diagnostic studies: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
(6 intermediate revisions by one other user not shown)
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Hypoglycemia}}
{{Hypoglycemia}}
{{CMG}}
{{CMG}} {{AE}} {{MAD}}


==Overview==
==Overview==
Other diagnostic studies include injection of [[calcium gluconate]] into [[splanchnic]] arteries and venous sampling searching for [[insulin]].


==Other Diagnostic Studies==
==Other Diagnostic Studies==
* In case of failed imaging( US-CT-MRI ) to diagnose insulinoma, more adiitional tests need to be done.
* In the case of failed imaging investigations to diagnose [[insulinoma]], [[calcium gluconate]] injection test is done.
 
* This test can be performed to distinguish between [[insulinoma]] and islet-cell [[Hypertrophy (medical)|hypertrophy]] as follow:
* Test can be performed to distinguish between insulinoma and islet-cell hypertrophy.
**Injection of [[calcium gluconate]] into [[Splanchnic|splanchnic arteries]] and venous sampling for [[insulin]].<ref name="pmid26312578">{{cite journal| author=Thompson SM, Vella A, Thompson GB, Rumilla KM, Service FJ, Grant CS et al.| title=Selective Arterial Calcium Stimulation With Hepatic Venous Sampling Differentiates Insulinoma From Nesidioblastosis. | journal=J Clin Endocrinol Metab | year= 2015 | volume= 100 | issue= 11 | pages= 4189-97 | pmid=26312578 | doi=10.1210/jc.2015-2404 | pmc=4702445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26312578  }}</ref>
 
**In [[insulinoma]], the test is positive in a single artery.
* Injection of calcium gluconate into splanchnic arteries and venous sampling searching for insulin.<ref name="pmid26312578">{{cite journal| author=Thompson SM, Vella A, Thompson GB, Rumilla KM, Service FJ, Grant CS et al.| title=Selective Arterial Calcium Stimulation With Hepatic Venous Sampling Differentiates Insulinoma From Nesidioblastosis. | journal=J Clin Endocrinol Metab | year= 2015 | volume= 100 | issue= 11 | pages= 4189-97 | pmid=26312578 | doi=10.1210/jc.2015-2404 | pmc=4702445 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26312578  }}</ref>
**Islet-cell hypertrophy will cause positive test in multiple arteries.<ref name="pmid25873534">{{cite journal| author=Thompson SM, Vella A, Service FJ, Grant CS, Thompson GB, Andrews JC| title=Impact of variant pancreatic arterial anatomy and overlap in regional perfusion on the interpretation of selective arterial calcium stimulation with hepatic venous sampling for preoperative localization of occult insulinoma. | journal=Surgery | year= 2015 | volume= 158 | issue= 1 | pages= 162-72 | pmid=25873534 | doi=10.1016/j.surg.2015.03.004 | pmc=4461470 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25873534  }}</ref>
 
* In insulinoma, test is positive in one artery alone.
* Islet-cell hypertrophy, test is positive is positive in multiple arteries.<ref name="pmid25873534">{{cite journal| author=Thompson SM, Vella A, Service FJ, Grant CS, Thompson GB, Andrews JC| title=Impact of variant pancreatic arterial anatomy and overlap in regional perfusion on the interpretation of selective arterial calcium stimulation with hepatic venous sampling for preoperative localization of occult insulinoma. | journal=Surgery | year= 2015 | volume= 158 | issue= 1 | pages= 162-72 | pmid=25873534 | doi=10.1016/j.surg.2015.03.004 | pmc=4461470 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25873534  }}</ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Needs overview]]
[[Category:Needs content]]
[[Category:Endocrinology]]
[[Category:Emergency medicine]]
[[Category:Primary care]]
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}

Latest revision as of 19:18, 16 November 2017

Hypoglycemia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hypoglycemia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic criteria

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Hypoglycemia other diagnostic studies On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hypoglycemia other diagnostic studies

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hypoglycemia other diagnostic studies

CDC on Hypoglycemia other diagnostic studies

Hypoglycemia other diagnostic studies in the news

Blogs on Hypoglycemia other diagnostic studies

Directions to Hospitals Treating Hypoglycemia

Risk calculators and risk factors for Hypoglycemia other diagnostic studies

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]

Overview

Other diagnostic studies include injection of calcium gluconate into splanchnic arteries and venous sampling searching for insulin.

Other Diagnostic Studies

References

  1. Thompson SM, Vella A, Thompson GB, Rumilla KM, Service FJ, Grant CS; et al. (2015). "Selective Arterial Calcium Stimulation With Hepatic Venous Sampling Differentiates Insulinoma From Nesidioblastosis". J Clin Endocrinol Metab. 100 (11): 4189–97. doi:10.1210/jc.2015-2404. PMC 4702445. PMID 26312578.
  2. Thompson SM, Vella A, Service FJ, Grant CS, Thompson GB, Andrews JC (2015). "Impact of variant pancreatic arterial anatomy and overlap in regional perfusion on the interpretation of selective arterial calcium stimulation with hepatic venous sampling for preoperative localization of occult insulinoma". Surgery. 158 (1): 162–72. doi:10.1016/j.surg.2015.03.004. PMC 4461470. PMID 25873534.