Guptashutosh
Forum Elite
Topics: 35
Posts: 354
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27. A 22-year-old woman comes to the physician because of diffuse constant headaches and vision problems for 3 months; the headaches are worse in the morning when she awakens from sleep. She also has had brief episodes of loss of vision in both eyes. She has had an 18-kg (40-lb) weight gain over the past year. She now weighs 100 kg (220 lb) and is 163 cm (64 in) tall. Visual acuity is 20/30 bilaterally. Visual fields are full, but the blind spots are enlarged bilaterally. Funduscopic examination shows marked blurring of the optic disc margins bilaterally. The remainder of the neurologic examination shows no abnormalities. Which of the following is the most likely diagnosis?
A ) Amaurosis fugax
B ) Central retinal vein occlusion
C ) Glaucoma
D ) Macular degeneration
E ) Migraine
F ) Nutritional optic neuropathy
G ) Optic neuritis
H ) Pituitary adenoma
I ) Pseudotumor cerebri
J ) Temporal arteritis
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| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
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i think its prolactin secreating pitutary adenoma.
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| nida
Forum Elite
Topics: 23
Posts: 87
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I go for I) Pseudotumor cerebri
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| chemamr
Forum Hero
Topics: 703
Posts: 4,469
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I?
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"In Sicily, women are more dangerous than shotguns"
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| webjeee
Forum Guru
Topics: 99
Posts: 350
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Pseudotumor likely
but why weight gain ? pitutary adenoma.?
The syndrome is commonly found in young women, especially those who are obese or who recently have gained weight. from:   Williams Obstetrics > Section VIII. Medical and Surgical Complications >
Chapter 55. Neurological and Psychiatric Disorders
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| smal
Forum Guru
Topics: 140
Posts: 727
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webjeee,wouldnt they have bitemporal hemianopsia(pitutary adenoma?)if we r thinking of a pitutary adenoma,may be cushing's causing weight gain,but there r many other features to be associated too.
i go for peudotumor cerebri too
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remedy for weakness is not brooding over it ,but thinking of strength.
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