Patient is male of 26 yearshaving hypertension since 7-8 months, had3-4 episodes of hypoglycemi

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Young hypertensive Hypoglycemic symptoms Investigate for the aetioligy and effect of HT Investigations to rule out DM presenting as hypoglycemia Investigations for insulin secreting tumors causing hypoglycemia. Rule out drug abuse
Thank you doctor
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Exclude Primary aldosteronism Cushing syndrome Pheochromocytoma Hyperthyroidism Renovascular disease Renal artery stenosis Drug induced . Insulinoma Pituitary tumors
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You need to workout on pt Investigate in detail about hypertension and its effects So also need to work on hypoglycemia Bsl f&pp Hba1c GGT Beside routine investigations
Thanx dr Shiv Om Mishra
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Do HBA1C Glucose tolerance test Rule out insulinoma Check insulin levels It may be reactive hypoglycemia Take high protien diet Avoid simple carbohydrates
Rule out critical illness or organ failure Rule out renal injury Rule out adrenal or pituitary insufficiency.
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Important to evaluate this through complete profile
Thank you doctor
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