Pathophysiology: excess growth hormone, usually caused by pituitary adenoma
Presentation: macroglossia, headaches, joint pains, sweating, HTN, hyperglycaemia
Investigations: IGF-1 levels
Management: octreotide
Growth hormone released in pulsatile manner
IGF-1 used to measure tumour re-occurrence
Diagnosis
IGF-1 level
Growth Hormone levels after glucose tolerance test
MRI Pituitary
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