Image Based Questions On Endocrinology
Mar 19, 2024

Diagnosis: Cushing Syndrome
The given image shows Centripetal obesity, Violet and purplish striae, Purpura. Midnight plasma cortisol value is elevated (In a normal individual, midnight plasma cortisol levels tend to decline in midnight and again start to rise in the morning.

Image Shows Stare Sign Suggesting Graves Disease
Features of graves disease - Myxedema: Pretibial Myxedema is present in Graves’ disease o Dalrymple sign o Moist warm hands · Constipation is a feature of Hypothyroidism.

Diagnosis: Conn Syndrome
Conn's syndrome: Adrenal adenoma (tumor in the first layer of cortex).Hypertension and Hypokalemia are features of increase aldosterone -ENaC- Increase Na2+ and H2O absorption & contralateral urinary loss of K+ →Hypokalemic alkalosis .The image shows · Mass in (R) adrenal gland · · IOC for Conn's syndrome: Salt loading test.

Hyperpigmentation over palmar and sole creases , tongue- characteristic for 1 Addison's disease · It is due to ↑ACTH levels which has partial MSH like action.

Also Read: Special Considerations in Diabetes Mellitus
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