204 T1 MT 1: Endocrinology Case Studies
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Questions and Answers

What is the diagnosis for Mr. Albert, who has kidney stones and an elevated calcium level?

  • Hypoparathyroidism
  • Hyperthyroidism
  • Primary hyperparathyroidism (correct)
  • Adrenal insufficiency

    • What is the likely cause of Mr. Albert's elevated calcium level?

  • Adrenal tumor
  • Parathyroid hyperplasia
  • Parathyroid adenoma (correct)
  • Thyroid nodule

    • What symptom might Mr. Albert experience due to his condition?

  • Severe headaches
  • Stones, bones, abdominal groans, and psychic moans (correct)
  • Abdominal pain
  • Fatigue

    • What imaging would be helpful in diagnosing Mr. Albert's condition?

    <p>Neck USS and Sestamibi scan</p> Signup and view all the answers

    What is the recommended treatment for Mr. Albert's condition?

    <p>Surgery to remove the parathyroid adenoma</p> Signup and view all the answers

    What is the explanation for Mr. Bramble's symptoms of sweating and palpitations?

    <p>Hypoglycaemia</p> Signup and view all the answers

    What is the significance of Mr. Bramble's insulin C-peptide level?

    <p>It reflects his endogenous insulin production</p> Signup and view all the answers

    What is the likely diagnosis for Mr. Bramble, who has a high insulin C-peptide level and symptoms of hypoglycaemia?

    <p>Insulinoma</p> Signup and view all the answers

    What is gliclazide, which Mr. Bramble's wife takes?

    <p>An oral hypoglycaemic agent</p> Signup and view all the answers

    What is the sign of hyperparathyroidism?

    <p>Elevated calcium levels</p> Signup and view all the answers

    What is the purpose of a Sestamibi scan in Mr. Albert's case?

    <p>To localize the parathyroid gland</p> Signup and view all the answers

    What is the term for the collection of symptoms experienced by Mr. Albert?

    <p>Stones, bones, abdo groans, psychic moans</p> Signup and view all the answers

    What is the explanation for Mr. Bramble's symptoms of hypoglycemia?

    <p>Insulinoma</p> Signup and view all the answers

    What is the likely diagnosis for Mr. Bramble, who has a high insulin C-peptide level?

    <p>Insulinoma</p> Signup and view all the answers

    Why is Mr. Bramble's cortisol level elevated?

    <p>Due to a response to insulinoma</p> Signup and view all the answers

    What is the significance of measuring insulin C-peptide levels?

    <p>It reflects endogenous insulin production</p> Signup and view all the answers

    What is the recommended treatment for Mr. Albert's condition?

    <p>Parathyroidectomy</p> Signup and view all the answers

    What is the relevance of Mr. Bramble's wife taking gliclazide?

    <p>It may be related to Mr. Bramble's hypoglycemia</p> Signup and view all the answers

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