Growth-3

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Topic: Growth-3

Posted on: November 24, 2016

Patient no 52
A 31 years old female presents with enlargement of
the jaw, hands, and feet, which result in increasing
shoe and glove size and the need to enlarge finger
rings. Her biochemical tests shows:

• Urea: 6.1 mmol/l (3.5-6.7 mmol/l)
• Creatinine: 93 μmol/l (50-105 μmol/l)
• Fasting Plasma Glucose: 16.4 mmol/L (<5.6 mmol/L)

a. What is the most likely biochemical diagnosis?
b. Name ONE laboratory investigation which can be most
helpful in this patient

a. Acromegaly
b. IGF-1 (Glucose suppression test is contraindicated)
Ref No 5
Diagnosis of Acromegaly
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