A 34-year-old man comes to the physician reporting abnormal lightheadedness the past few days. On examination he appears slightly tremulous. Heart rate is 88. Serum fasting glucose is measured at 59 mg/dL (NR 72-99). Serum C-peptide is elevated. Pineapple juice readily reverses his clinical signs. Which of the following is the next best step in management?
Check for serum hypoglycemics
Check serum HbA1c
CT of the abdomen to visualize the tumor
Pancreatic venous sampling
Urine dipstick for glucose and protein
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Cut-to-the-chase Answer (0:44):
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HY USMLE Answer (5:22):
