A 49-year-old woman with type 2 diabetes presents with profuse watery diarrhea persisting despite 24-hour fasting, muscle weakness, and facial flushing. Vital signs show BP 118/76 mmHg, HR 102/min, RR 16/min, temp 37.2°C. Laboratory studies reveal serum potassium 2.8 mEq/L, gastric pH 6.2 with markedly reduced acid secretion, and fasting glucose 156 mg/dL. Abdominal imaging shows no obstruction. She takes metformin and lisinopril. Which diagnosis best explains her presentation?

  1. A)Carcinoid tumor
  2. B)Glucagonoma
  3. C)Insulinoma
  4. D)Gastrinoma
  5. E)VIPomaGABARITO

Explicação

VIPoma causes WDHA syndrome: watery diarrhea, hypokalemia, and achlorhydria from vasoactive intestinal peptide. Ver explicação completa e trilha adaptativa →

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