Endocrinology Case Studies
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Questions and Answers

What is the most likely diagnosis for Nadir based on his symptoms and lab results?

  • Graves' disease
  • Type 2 diabetes (correct)
  • Cushing's syndrome
  • Acromegaly
  • Which laboratory finding is most indicative of Hoor's condition?

  • Low TSH levels (correct)
  • High prolactin levels
  • Normal insulin levels
  • High TSH levels
  • Which physical examination finding is least likely associated with acromegaly?

  • Goiter (correct)
  • Enlarged hands and feet
  • Prominent mandible
  • Prominent supraorbital ridges
  • What treatment approach is recommended for Nadir to help manage his condition?

    <p>Lifestyle modifications and oral medications</p> Signup and view all the answers

    What condition is indicated by elevated serum IGF-1 and GH levels in Ahmad's tests?

    <p>Acromegaly due to a pituitary adenoma</p> Signup and view all the answers

    Study Notes

    Case 1: Type 2 Diabetes

    • Patient (Nadir, 43) presented with a 1-month history of polydipsia and polyuria.
    • Patient appeared obese with BMI 32 kg/m².
    • Physical examination was unremarkable except for the BMI.
    • Lab results showed HbA1c of 9.1% (normal ≤6.5%), fasting plasma glucose of 127 mg/dL (normal ≤100 mg/dL).
    • Treatment advised: lifestyle modifications, diet therapy, exercise, and oral medications.

    Case 2: Graves' Disease

    • Patient (Hoor, 43-year-old female) presented with a 1-year history of palpitations, fatigue, and hand tremor.
    • Symptoms worsened over 2 months.
    • Physical examination revealed a goiter, moist skin, hand tremor, and tachycardia (110 bpm).
    • Lab results showed low TSH levels.

    Case 3: Acromegaly

    • Patient (Ahmad, 35-year-old male) presented with noticeable physical changes noticed by his cousin (Abdullah).
    • Physical changes included prominent mandible, supraorbital ridges, nose bridge, large hands and feet.
    • Endocrine tests performed included: adrenocorticotropic hormone, thyroid-stimulating hormone, prolactin, hemoglobin A1C, insulin-like growth factor 1 (IGF-1), growth hormone, and parathyroid hormone.
    • Results showed normal levels for all hormones except IGF-1 and Growth Hormone (GH).
    • Diagnosis confirmed as pituitary adenoma.

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    Description

    This quiz covers three distinct case studies in endocrinology, focusing on Type 2 Diabetes, Graves' Disease, and Acromegaly. Each case provides patient history, examination findings, and lab results to enhance understanding of these conditions' presentations and management.

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