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Acromegaly

Incidental findings Scar from transfrontal resection
Signs Large hands, protrusion lower jaw, inderdental separation, macroglossia
Differential diagnosis Acromegaly
Function Comment on disease activity: Sweating, hypertension, glycosuria, headache
Tests ECG, CXR - cardiomegaly
Oral GTT - failure of supression / paradoxical increase growth hormone
IGF-1 level
MR pituitary fossa
T4, prolactin, testosterone. Triple stimulation if ?hypopit
Formal perimetry

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