Endocrinology: Pictorial Quiz
Upcoming SlideShare
Loading in...5
×
 

Endocrinology: Pictorial Quiz

on

  • 2,344 views

 

Statistics

Views

Total Views
2,344
Views on SlideShare
2,291
Embed Views
53

Actions

Likes
1
Downloads
23
Comments
0

4 Embeds 53

http://smcphysiciansmeet.blogspot.in 28
http://smcphysiciansmeet.blogspot.com 23
http://www5.waubonsee.edu 1
http://www.smcphysiciansmeet.blogspot.com 1

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Endocrinology: Pictorial Quiz Endocrinology: Pictorial Quiz Presentation Transcript

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