Short case approach to acromegaly summary

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  • 1. Short case approach to AcromegalyHands1) Introduce2) Hyperhidrosis – moist, doughy, enveloping hands3) Large hands, broad palms, spatulate fingers4) Carpel tunnel syndrome – Tinel’s sign / Phalen’s signFace1) Prominent supraorbital ridge2) Large nose & lips3) Prognathism4) Interdental separation5) Macroglossia6) Bitemporal hemianopia7) Optic atrophyNeck1) GoitreThorax1) Axilla: skin tags (molluscum fibrosum) & acanthosis nigricans (black velvety papillomas)2) Gynaecomastia3) CardiomegalyAbdomen1) HepatosplenomegalySkeletal1) Joints: osteoarthrosis, chondrocalcinosis2) Spine: kyphosisSystemic1) BP for HPT2) Urine sugar for impaired glucose tolerance Digitally signed by DR WANA HLA SHWE DN: cn=DR WANA HLA SHWE, c=MY, o=UCSI University, School of Medicine, KT- Campus, Terengganu, ou=Internal Medicine Group, email=wunna.hlashwe@gmail.com Reason: This document is for UCSI year 4 students. Date: 2009.02.24 10:29:06 +0800