dawson fingers
changes of shoes and hand, acromegaly, paget disease of bone. two causes heart failure. second thing, the blood pressure hypertension we have also diabetes mellitus with ehadache tumor gives larger larger resulting in increased intracranial pressure, pitutatiry infront of it optic if tumor it will press against at middle, it will hit optic chiasma, and nasal fibers - patient would see laterally, bitemproal hemanioanpia, it wil press gradually blind until…? - signs symptoms dm htn, field loss progressive. - compplication of acromegaly dm htn visual loss, hf, carpael tunne lsyndrome, proximal myopathy or any endocrinopathies
35 years old lady with multiple lesions - non suppreseible hormone glucose test, 12 mm pituatary mas, was noticed mri - which following support men 1 rather solitarrtory tumor??
1- bitempolar hemniaonoponia 2- thormboid crystal aspirate 3- proximal myopathy - endicroncrapithies 4- Hypokalemia
by exclusion..
54 years old acromegaly horizental diplopiaexamination eye movement inability to abduct right eye, abducens - beyond mid line compenstatry tmomizinize diplopia - the movement left eye were intact - which of following is cause.
1- kennedy foster syndrome 2- krwrenckes kastvove encephalopthy dry beririr bprain 3- damage optic chasm 4- lateral cavernous tumorur t o lateral …(right)
by exclusion/
hypopitnappaan hypopituatirasim.
68 years old man parkisnson present loi pain to the groin - investigation lateral hydronpehrosis. which is likely?
1- organomegaly depositir ich sheet 2- stones in kidney due benzodiazpine 3- adverse opoids morphine 4- it is an adverse chronic administriaive of bromociptine (right)