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Insulinoma: Diagnosis 1430.e5



            Insulinoma: Diagnosis
  VetBooks.ir                                      Clinical signs of insulinoma






                                                CBC, serum biochemical profile, UA




                                 Normal                               Normal except          Abnormalities other
                                                                     for hypoglycemia         than hypoglycemia
                           Fast the animal, checking
                            blood glucose q 1-2h
                              and at any time
                             clinical signs occur



                   No hypoglycemia and  Hypoglycemia     Submit concurrent sample for serum insulin assay
                 normal serum fructosamine



                                                    Low serum          Serum insulin
                                                      insulin       in or above the normal
                                                                       range despite
                                                                       hypoglycemia


                                                                        Insulinoma
                                                    Pursue other
                                                     diagnoses
                                                                  Consider advanced imaging
                                                                     (abdominal computed
                                                                     tomography, positron
                                                                   emission tomography, or
                                                                     magnetic resonance
                                                                   imaging) to identify tumor
                                                                    and rule out metastasis

           UPDATED AND EDITED BY: Leah A. Cohn, DVM, PhD, DACVIM
           ORIGINALLY WRITTEN BY: Ninette Keller, BVSc, MMedVet



                                                                                                                      Clinical   Algorithms





















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