More Confusion

Endocrine System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This previously healthy patient has presented with a transient episode of abnormal behavior, with subsequent complete recovery.\n\nThe key differential diagnoses include metabolic disorders such as hypoglycemia, a transient ischemic attack (TIA), substance abuse and seizure disorders (such as a complex partial seizure).\n\nHis history does not suggest substance abuse, while the lack of obvious vascular risk factors makes a TIA less likely. Seizure disorders remain a possibility.\n\nThe history of palpitations and sweating suggests autonomic hyperactivity and hints at hypoglycemia - in which case the altered mentation would be secondary to neuroglycopenia (hypoglycemia sufficient to impair brain function). The presence of a low capillary blood sug"}]}

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