Acromegaly Flashcards
1
Q
General inspection
A
Height
General size
2
Q
Hands
A
Large, spade-like hands
Increased skin fold thickness
Carpal tunnel syndrome- median nerve entrapment signs
Warm, sweaty palms
3
Q
Arms
A
BP- hypertensive
Proximal myopathy- weak shoulder abduction
4
Q
Axilla
A
Skin tags (molluscum fibrosum)
Greasy skin
Acanthosis nigricans
5
Q
Face
A
Large supraorbital ridge Frontal bossing Prognathism (underbite) Square jaw Splayed teeth Macroglossia
6
Q
Eyes
A
Visual field defects e.g. bitemporal hemianopia
Optic atrophy
Papilloedema
Hypertensive or diabetic changes on fundoscopy
Ocular palsies
7
Q
Chest
A
Arrhythmias
Cardiomegaly
CCF
8
Q
Back
A
Inspect for kyphosis
9
Q
Abdomen
A
Hepatic, splenic and renal enlargement Testicular atrophy (due to gonadotropin deficiency secondary to an enlarging pituitary tumour)
10
Q
Limbs
A
Osteoarthritic changes Foot drop (common peroneal nerve entrapment)
11
Q
Urinalysis
A
Glycosuria
12
Q
What are signs of active disease?
A
- Increased number of skin tags
- Excessive sweating
- Glycosuria
- Increasing visual field loss
- Enlarging goitre
- Hypertension
- Headache
