tess
Forum Guru
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If acromegaly is suspected, what is the first test to do? How to do it? If possitive, what to do next?
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| doc4mindia
Forum Guru
Topics: 134
Posts: 243
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A fasting serum specimen is first assayed for Prolactin, IGF-1,Glucose, liver enzymes & BUN, Inorganic Phosphorous, Free thyroxine, TSH, Serum calcium.
Glucose syrup is then administered orally & serum GH is measured 60 minutes afterward; Acromegaly is excluded if the serum GH is <2ug/L.
MRI shows a pituitary tumor.
X-Rays of the skull show an enlarged sella & thickened skull.
A lateral view of the foot shows increased thickness of the heel pad.
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