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Let’s test your endocrinology knowledge with this teaser. As ever, leave your answer as a comment. Answer will be given in a few days. Which of these symptoms of hypoadrenalism will distinguish between primary adrenal failure and secondary (pituitary) adrenal insufficiency? a. Postural Hypotension b. Weight Loss c. Fatigue d. Hypoglycaemia e. Skin Pigmentation
A 44 year old builder presents with weakness over the past 48 hours A neurological exam reveals the following (N=normal): Upper Limbs Lower Limbs Right Left Right Left Tone N reduced N N Power (MRC) 4/5 4/5 3/5 4/5 Coordination N N N N Sensation Fine touch Proprioception N N N N N N N [...]
Thanks for all of your great responses to our question of the day – some good analyses and discussion. So here we go with the likely pathology … Symmetrical findings make a central lesion less likely (they would localise). The reflexes and sensation are intact, making a cord or peripheral nerve lesion unlikely. The absence [...]
A 64 year old man presents with a history of weakness and fatigue. He has lost 3 stone in weight. On systemic enquiry, he has no other clinical symptoms, other than a mild dry cough which he has had for 3 days and some occasional dysuria, present intermittently for 6 months. His examination findings are [...]
The following weeks will represent the culmination of years of hard work by medical students over the past 1-5 years. Revision patterns have been changing and increasingly medical students are approaching final examinations preparing for them using web based MCQ, OSCE and video guides. For the first time, resources like podcasts and the like have [...]
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