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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
www.ExpertConsult.com