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Help with diagnosis?

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Old 02-04-2011, 09:15 PM   #1
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*

No sugar in urine
high urine output
dilute urine

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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