Internal Medicine

0521779407-09 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 21:13

Hypoglycemia Hypogonadism in Men 783

follow-up

■Depends on underlying cause

■None usually required for functional hypoglycemia

■For other causes, document correction of hypoglycemia and symp-

toms, follow-up dictated by underlying disorder

complications and prognosis

■Severe, recurrent hypoglycemia associated with loss of mental func-

tion

■Most insulinomas are cured following surgical resection

Hypogonadism in Men................................

SHALENDER BHASIN, MD

history & physical

History

■General health problems

■Eating disorder

■Excessive exercise

■Medications: glucocorticoids, ketoconazole, GnRH agonist, cancer

chemotherapy, neuroleptics

■Abuse of drugs such as marijuana, cocaine, alcohol, opiates

■Pubertal development

■Frequency of shaving

■Energy and mood

■Sexual desire and activity

Signs & Symptoms

■Height and span, weight

■Hair growth on face, axillae, pubic region

■Escutcheon

■Breast enlargement

■Testicular volume

■Phallic size and location of meatus

■Prostate size

■Sense of smell

■Dysmorphic features (polydactyly, hearing deficit)

tests

Laboratory

■CBC, chemistry panel for general evaluation