74 results
Growth Hormone Excess - Pathogenesis and clinical findings
 • Acromegaly and gigantism share the same pathophysiology
time of onset of GH ... GH excess prior ... GH excess after ... hemianopsia IGF-1 Overproduction ... #Excess #Overproduction
Blanching Spider Angioma (Nevus) on Physical Exam

#Spider #Angioma #nevus #telangiectasia #PhysicalExam #clinical #video #dermatology #skin #blanching
Blanching Spider ... dermatology #skin #blanching
Feedback Loop: Growth Hormone (GH)
Growth Hormone:
 • Liver -> GHR activates JAK-STAT pathway -> Incr IGF1
Growth Hormone (GH ... /Symptoms: • GH ... abn lipid • GH ... GrowthHormone #GH
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
enlargement - If GH ... • GH stimulates ... adenomas are mixed GH ... level (↑Sens) - GH ... (Lanreotide) ± GH
Bleeding manifestations 
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2
They are non-blanching ... , vasopressin, GH ... thrombocytopenia #Hematomas #blanching
Acromegaly 
Caused by over-secretion of growth hormone (GH) from the pituitary gland. 
The condition is rare
growth hormone (GH
Petechiae: punctate spots that arise from spontaneous bleeding secondary to profound thrombocytopenia. 
The spots (easily visible
are flat, non-blanching
Gram Stain - Bacteria Identification Algorithm
Gram Positive:
 • Rods: Oxidase+, Oxidase-, Fastidious, Anaerobic, Curved
 • Cocci:
Negative: • Rods: Branching
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
density - Normal branching
Sellar / Pituitary Mass - Differential Diagnosis Algorithm
Adenoma - Primary Anterior Pituitary
 - Secreting
Prolactin • GH