Problem description: Condition description (time of onset, main symptoms, symptom changes, etc.): Sudden dizziness a few days ago, there was space-occupying lesions in the film, which may be a problem with cerebral infarction. Later, I did an examination and found that there were also problems with the liver. The doctor suggested to do a three-high and diabetes examination, and two reports of the blood test report. There were no report values in [blood sugar, urine routine, glycosylated hemoglobin]. , But the local doctor said that there is no food and urine disease, please help confirm whether the two current blood sampling reports contain diabetes check items, whether diabetes can be ruled out, and if it cannot be ruled out, what other tests need to be done? Have you ever been to the hospital for treatment: Have not been to the current medication Description: No medications, previous medical and surgical history: None
Date of the question: 2020-10-27
Patient information : Age: 57 years old, Gender: Male
Problem analysis: Sudden dizziness, cranial magnetic resonance showed multiple space-occupying and ventricle compression. Laboratory tests revealed abnormal liver function. It is planned to clarify whether there is diabetes, and further diagnosis and treatment plan.
Guiding suggestions: 1) For craniocerebral space, it is recommended to go to neurosurgery. 2) The current evidence is unable to diagnose diabetes. It is recommended to improve biochemistry, electrolytes, blood sugar, and glycosylated hemoglobin. 3) It is recommended to improve the chest and abdomen CT, tumor markers, and hepatotropic virus indicators, such as the five hepatitis B and hepatitis C antibodies. 4) If there is no abnormality in the above-mentioned examination, perfect gastrointestinal endoscopy.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection