Name: Ayush Prabhakar

Theme: Symptomatic Endocrinology

 

OPTION LIST

 

A

Microprolactinoma

I

Acromegaly

B

Primary hyperparathyroidism

J

Pituitary tumour

C

Macroprolactinoma

K

Hypopituitarism

D

Secondary hyperparathyroidism

L

Hyperaldesteronism

E

Thyrotoxicosis

M

Phaeochromocytoma

F

Addison’s Disease

N

 

G

Primary hypoparathyroidism

O

 

H

Hyperprolactinaemia

P

 

 

For each scenario below, choose the closest diagnosis from the list above. Each option may be used once, more than once or not at all.

 

1. A 38 year old woman presents with fatigue, abdominal pain and generalised arthralgia. On examination her palmar creases are hyperpigmented and she also has postural hypotension.

 

 

2. A 45 year old man presents confusion, anorexia as well as stiff joints. Investigations reveal a ↑ PTH, ↑ Ca and ↓ PO4 level.

 

 

3. A 35 year old man comes in highly anxious and with a low self esteem. He has recently split up from his third partner in the last one month. Examination reveals macroglossia, ride-spaced teeth and a prominent supraorbital ridge.   

 

 

4. A 45 year old woman comes to clinic complaining of itching, sweating and diarrhoea. Others have complained that she’s highly irritable and she’s also lost 2 stones in the last two months (despite an increased appetite).

 

 

5. A 28 year old woman complains of amenorrhoea, loss of libido and galactorrhoea. She is also infertile. Investigations reveal a ↑ prolactin and an MRI scan shows a tumour < 10mm in diameter.

 

 

ANSWERS

1. F

2. B

3. I

4. E

5. A