Question

In high school, Jake had been a tall and well-coordinated student who was sought after by his school’s sports teams. He’d played on both the football and basketball teams. In his second year of college now, Jake came to the Student Clinic because of a sprained wrist. This gave the nurse an opportunity to do a complete history. In the course of the history, Jake mentioned that he felt clumsy compared to his high-school-athlete self. He was a large and slender young man, six feet four inches tall. He said probably his awkwardness was because he did not take any time for sports now, or even for physical activity beyond walking across campus, because college demanded so much study time and he also had a part-time job. Jake said he had not been especially tall in grade school. His growth spurt came in junior high. At one point, Jake scratched his head thoughtfully and said, “But you know, I think I’ve grown a lot since high school. And I’m still growing.” The nurse was about to say that people often do, when he began to suspect that Jake’s size might be due to an endocrine condition. 1. What condition might Jake have based upon the case presentation? A. Gigantism B. Acromegaly C. Hypopituitarism D. Cushing’s syndrome 2. How would the diagnosis be confirmed? 3. How would you rule out the other options in #1? 4. What is Jake's prognosis and treatment plan?

Answer 1

1 Tack have endocaine problem in which - abnormally high secretion of growth hormone by boos bituitary gland. - -2 Gigantism - there may be all mostly correcte option for Jack. Beit confirmation occulen of toon diagnosis B Acromegaly There is second best correct option for Tack. But confirmation after diagnosis Cigantism is a rare condition that cause abnoamul growth in children, mostly in team of height but girth is affected as well. Acromegaly is a harmonal disorded that develop when pituitary gland produce too much growth hormone during aldulthood and usually affect middle-aged adult I Gigantism is abnormally high linear greowth due to encessive action of insulin-like growth factor of (IGF-I) while epiphyseal growth plate open durcing Childhood Acromegaly is same dilarde of IGF-I encess bent occur cefted growth plate Cartilage felles in adulthood. So Jack is history show that abnormal. growth occur in junior high school ① He popituitarism is wrong because It glue low recretion of growth hormone from puitarry and low Stecture body,

cushing syndrome is wrong becouse sendromis camed by high level of hormone carthal in body, For diagnells, we elecommend a blood test to a meassure level of growth hormone - Insuline-growth hormone - I (767) measurement - Growth hormone suppresion test Imaging like MRI -orral glucale tolerance test Toreatment in aim to stop or slow Teckis peroduction of growth hormone - Surgery - Removing teemar if it is eindeline - came, ad. Medication - octe octreotide or langreotide to prevent growth harmone reedeall - Becomo caiptine & carbe egaline that lower growth haemone release - Gamma- knife severgery - traditional suergery.