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  • Help with diagnosis?

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    Old 02-04-2011, 09:15 PM   #1
    darisk
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    Location: Oklahoma
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    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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