A 6-week-old child presents with generalized seizures, a serum glucose of 30 mg/dL and concurrent hyperinsulinemia. This child’s first priority is which of the following?
A. Permanent central venous access and glucose infusion
B. Administration of cortisone and adrenocorticotropic hormone
C. Computerized tomographic scan of the abdomen to look for an islet cell adenoma
D. Urgent pancreatic resection
Answer:A
A 6-week-old child presents with generalized seizures, a serum glucose of 30 mg/dL and concurrent hyperinsulinemia. This child’s first priority is which of the following?
A. Permanent central venous access and glucose infusion B. Administration of cortisone and adrenocorticotropic hormone C. Computerized tomographic scan of the abdomen to look for an islet cell adenoma D. Urgent pancreatic resection