Station 5: Focused Consultation

Question 1

Features of active disease in acromegaly

Answer 1

Hyperglycaemia
Headaches
Sweating
Hypertension
Bitemporal hemianopia

Question 2

Diagnosis of acromegaly

Answer 2

Raised insulin-like growth factor-1 (screening test)
Oral glucose tolerance test with GH measurement (confirmatory test - failure to suppress)
TFTs, prolactin, bone profile, LH/FSH to exclude other causes