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ENDOCRINOLOGICAL PICTORIAL QUIZ <ul><li>PROF. DR. G. SUNDARAMURTHY’S UNIT </li></ul><ul><li>DR. P. VANJINATHAN </li></ul>
<ul><li>A 40 Years old male patient presented with complaints of generalized weakness,pain over the both wrists tightening...
 
 
 
 
 
 
ACROMEGALY <ul><li>Frontal Bossing </li></ul><ul><li>Increased hand & foot size </li></ul><ul><li>Mandibular Enlargement –...
<ul><li>38 Years old woman presented with complaints of gaining weight, growth of facial hair, amenorrhoea , recently diag...
 
 
Cushing’s Syndrome <ul><li>Weakness of proximal muscles </li></ul><ul><li>Purplish striae </li></ul><ul><li>Osteoporosis <...
<ul><li>32 years old woman presented with complaints of loss of weight, tremors, increased sweating ,palpitations,loss of ...
 
 
Grave’s disease
<ul><li>40 years old male presented with easy fatiguability, weight loss, anorexia, increased pigmentation over palms and ...
 
 
 
ADDISON’S DISEASE <ul><li>Mineralocorticoid deficiency – </li></ul><ul><li>Hyponatremia, Hyperkalemia , Acidosis </li></ul...
 
PSEUDOHYPOPARATHYROIDISM <ul><li>Hereditary disorder </li></ul><ul><li>Symptom and Signs of Hypoparathyroidism despite an ...
 
NECCROBIOSIS LIPOIDICA DIABETICORUM <ul><li>Rare disorder </li></ul><ul><li>Young women with Type 1 DM, Neuropathy, Retino...
 
Diabetic Dermopathy <ul><li>Pigmented pretibial papules/diabetic skin spots </li></ul><ul><li>Elderly male, T2 DM </li></u...
 
DIABETIC AMYOTROPHY <ul><li>Disabling illness </li></ul><ul><li>Middle age or later </li></ul><ul><li>Weakness followed by...
 
 
CHARCOT’S JOINT <ul><li>a complication of diabetic neuropathy </li></ul><ul><li>Affects both type 1 and type 2 DM patients...
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Endocrinology: Pictorial Quiz

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Transcript of "Endocrinology: Pictorial Quiz"

  1. 1. ENDOCRINOLOGICAL PICTORIAL QUIZ <ul><li>PROF. DR. G. SUNDARAMURTHY’S UNIT </li></ul><ul><li>DR. P. VANJINATHAN </li></ul>
  2. 2. <ul><li>A 40 Years old male patient presented with complaints of generalized weakness,pain over the both wrists tightening of the ring & increased thickness of the tongue and size of the hand and feet </li></ul><ul><li>what is the diagnosis ? </li></ul>
  3. 9. ACROMEGALY <ul><li>Frontal Bossing </li></ul><ul><li>Increased hand & foot size </li></ul><ul><li>Mandibular Enlargement – Prognathism </li></ul><ul><li>Increased Heel Pad Thickness </li></ul><ul><li>Large Fleshy nose </li></ul><ul><li>Generalized Visceromegaly - </li></ul><ul><li>Cardiomegaly,Macroglossia </li></ul>
  4. 10. <ul><li>38 Years old woman presented with complaints of gaining weight, growth of facial hair, amenorrhoea , recently diagnosed to have elevated Blood Pressure with easy bruising. </li></ul><ul><li>What is the diagonsis ? </li></ul>
  5. 13. Cushing’s Syndrome <ul><li>Weakness of proximal muscles </li></ul><ul><li>Purplish striae </li></ul><ul><li>Osteoporosis </li></ul><ul><li>Moon facies, buffalo torso </li></ul><ul><li>Hypertension, Edema </li></ul><ul><li>Acne, Hirsuitism, Oligo/Amenorrhoea </li></ul><ul><li>Insomnia, frank psychosis </li></ul>
  6. 14. <ul><li>32 years old woman presented with complaints of loss of weight, tremors, increased sweating ,palpitations,loss of hair in eye brows. </li></ul><ul><li>What is the diagnosis ? </li></ul>
  7. 17. Grave’s disease
  8. 18. <ul><li>40 years old male presented with easy fatiguability, weight loss, anorexia, increased pigmentation over palms and dorsum of feet. </li></ul><ul><li>What is the diagnosis ? </li></ul>
  9. 22. ADDISON’S DISEASE <ul><li>Mineralocorticoid deficiency – </li></ul><ul><li>Hyponatremia, Hyperkalemia , Acidosis </li></ul><ul><li>Glucorticoid deficiency – </li></ul><ul><li>Hypoglycemia, </li></ul><ul><li>Impaired energy mobilization </li></ul><ul><li>Increased ACTH – Hyperpigmentation </li></ul>
  10. 24. PSEUDOHYPOPARATHYROIDISM <ul><li>Hereditary disorder </li></ul><ul><li>Symptom and Signs of Hypoparathyroidism despite an increased PTH level </li></ul><ul><li>Due to end organ resistance to PTH </li></ul><ul><li>Hyperplasia of parathyroid glands </li></ul><ul><li>Short stature, Round face, Brachydactyly </li></ul><ul><li>Short 4 th and 5 th metacarpals and metatarsals </li></ul>
  11. 26. NECCROBIOSIS LIPOIDICA DIABETICORUM <ul><li>Rare disorder </li></ul><ul><li>Young women with Type 1 DM, Neuropathy, Retinopathy </li></ul><ul><li>Begins in pretibial region as an erythematous plaque or papules that gradually enlarge, darken & develop irregular margins with atrophic centres & central ulceration </li></ul><ul><li>Painful </li></ul>
  12. 28. Diabetic Dermopathy <ul><li>Pigmented pretibial papules/diabetic skin spots </li></ul><ul><li>Elderly male, T2 DM </li></ul><ul><li>Shin of legs, Minor mechanical trauma </li></ul><ul><li>As an erythematours area  Area of circular hyper pigmentation </li></ul>
  13. 30. DIABETIC AMYOTROPHY <ul><li>Disabling illness </li></ul><ul><li>Middle age or later </li></ul><ul><li>Weakness followed by wasting of pelvifemoral muscles - U/L or B/L, associated with pain </li></ul><ul><li>Concomitant distilled predominantly sensory neuropathy </li></ul><ul><li>Inv - Electro diagnostics studies </li></ul>
  14. 33. CHARCOT’S JOINT <ul><li>a complication of diabetic neuropathy </li></ul><ul><li>Affects both type 1 and type 2 DM patients </li></ul><ul><li>In long standing diabetics and neuropathy is always present and quite severe </li></ul><ul><li>Foot becomes very swollen and warm to touch </li></ul><ul><li>Bones in the foot are weakened and fractured without a major trauma </li></ul><ul><li>Leads to severe deformities, intractable ulceration  culminating in the need for amputation </li></ul>
  15. 34. Thank You ...
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