showing +ve tinel's & phalen's sign .most helpful test in confirming the dx?
_ Morning for you vanco, but for me i say Good nite now ( it's 1:30 morning).
_ See you in 6 hrs later dear,
if the pt has additional coarse fascial feature recently & couldn't wear his wedding ring b/c he said it makes him very tight .best confirmatory test?
Acromegaly -
Initial test/ Screening test - Igf 1 test
Confirmatory test - Glucose loading test -abnormally raised GH.
Imaging CT/MRI(MRI more sensitive) - only after the above two suggests acromegaly.
IF the first two tests are postive and MRI negative - Next best step??
I did ask u a Q tibebe,
what do u do if MRI is negative, after the previous tests prove it as Acromegaly?
may be secondary to ectopic GH Prodn ,if the MRI of pituitary is _ve
yes, so look for ectopic causes.