Acromegaly

FACTS

 

HPI

 

PHYSICAL EXAM

IMAGING

 
A/P
  • Post-operative testing:
    • Cure = nadir GH of 0.4 μg/L on OGTT
      • administer 75g dissolved glucose after overnight fasting
      • serum measurements of GH in 30 min interval
    • takes ~10 months for IGF-1