The Clinical Problem Solvers
Episode 393 – Spaced Learning Series – Hyperglycemia
May 1, 2025
Dive into a gripping case of hyperglycemia that might hide something more sinister. The hosts dissect a 65-year-old patient’s alarming symptoms, linking them to potential pancreatic cancer risks. They tackle diagnostic nuances like insulin resistance and the complexities of lab results, including the dangers of hypokalemia. Personal anecdotes and sharp medical insights illuminate the discussion, while the importance of early diagnosis and thorough patient history is emphasized throughout.
35:29
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Quick takeaways
- Thorough patient history and symptom exploration are crucial in differentiating between potential benign and malignant causes of hyperglycemia.
- Imaging findings, such as irregular liver contours and hypoechoic lesions, must be integrated with lab results to inform accurate diagnoses.
Deep dives
Diagnostic Approach to Hyperglycemia
The case begins with a 65-year-old female presenting with hyperglycemia and no prior history of diabetes. The initial focus is on understanding the reasons behind the patient's hyperglycemia and the implications of her being out of medical care for an extended period. Key considerations include exploring both acute and chronic causes of hyperglycemia, especially the differentiation between insulin deficiency and insulin resistance. The importance of taking a thorough patient history is emphasized in order to identify any underlying conditions or behaviors contributing to the hyperglycemia.
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