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Old 02-04-2011, 09:15 PM   #1
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Join Date: Feb 2011
Location: Oklahoma
Posts: 3
darisk HB User
Help with diagnosis?

Age: 50
Sex: Male

Medical history:
decreased libido
chronic fatigue
muscle weakness
heat intolerance
decreased beard growth
enlargement of nose, lips, tounge
pot belly, round face
*recently, the patient fell from a roof. Polyuria and polydipsea developed after the fall*

Physical exam:
high BP, pulse
small testicles
dilated pupils
*Patient is on high doses of prednisone for ITP*

Urinalysis:
No sugar in urine
high urine output
dilute urine

Blood:
high glucose
high calcium
high T3 T4
high tbg
low tsh
low testosterone
low lh
normal prl
high growth hormone
low acth
low cortisol
normal pth

I'm totally confused. I was thinking it might be Cushing's syndrome, but that wouldn't explain the high thyroid levels or high calcium levels. Any thoughts?

 
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