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ACROMEGALY INVESTIGATION

Endocrinology

ACROMEGALY INVESTIGATION

1. Screen for high IGF-1.
2. Diagnosis - failure to suppress GH with 75gm oral glucose.
3. Check PRL - 25% tumors are mixed.
4. Imaging investigation - MRI brain (pit fossa).
5. After confirmation - check (formal) visual fields, echo and colonoscopy to look for complications.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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