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Growth Hormone Excess - Pathogenesis and clinical findings
 • Acromegaly and gigantism share the same pathophysiology
clinical findings • Acromegaly ... plate fusion -> acromegaly ... rare causes of acromegaly ... Macrognathia • Enlarged
Acromegalic Hand: Markedly enlarged hand resulting from excess growth hormone. For reference
purposes, the comparison hand is
Acromegalic Hand ... : Markedly enlarged ... Clinical #Photo #Acromegaly ... #Acromegalic #Hand
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Acromegaly - Diagnosis ... : • Classic Acromegaly ... frontal bossing, enlarged ... resistance pseudo-acromegaly ... thakre_anuj) #Acromegaly
Thyroid Ophthalmopathy, Dermopathy, and Acropachy - Proptosis (Panel A) and pretibial myxedema (Panel B). His physical
his hands were enlarged ... Myxedema #Acropachy #NEJM
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Aortic anourysm, Enlarged ... Pericardial effusion • CXR
Acromegaly: Facial changes secondary to elevated growth hormone levels. Note in particular 
prominent supra-orbital ridge, jaw,
Acromegaly: Facial ... and generally enlarged ... Clinical #Photo #Acromegaly
Acromegaly 2: Facial changes secondary to elevated growth hormone levels. Note in particular 
prominent supra-orbital ridge,
Acromegaly 2: Facial ... and generally enlarged ... Clinical #Photo #Acromegaly
Acromegaly Testing Algorithm
INDICATIONS FOR TESTING:
 • Adults – enlarged facial or acral features, abnormal musculoskeletal growth
Acromegaly Testing ... TESTING: • Adults – enlarged ... ARUPConsult @ARUPLabs #Acromegaly
Severe Mitral Stenosis- The physical examination revealed a right parasternal heave, a loud S1, a midpeaking
left atrium was enlarged ... doppler #radiology #NEJM
On a chest film only the outer contours of the heart are seen.
In many cases we
figure is normal or enlarged ... Anatomy #Radiology #CXR