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This patient presents with symptoms and labs consistent with acute hypoglycemia, most likely due to  . Differential diagnosis includes  . Considered other etiologies of acute hypoglycemia to include drugs (anti-hyperglycemics, alcohol, beta blockers, ACE-I, APAP) or drug related error (missed meal, incorrect dosing, intentional overdose), systemic illness (sepsis, acute coronary syndrome, renal / hepatic failure, adrenal insufficiency), malignancy, or post-op complications (i.e. Gastric bypass). Presentation not consistent with other acute, emergencies related to hypoglycemia.

Plan: serial POC glucose, hypoglycemia protocol treatment per routine, labs , consider observation/admission, serial reassessment

from natedotphrase.com

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