Diagnosis apart from iatrogenic cause

• cortisol excess (plasma or 24-hour urinary cortisol)

• dexamethasone suppression test

• radiological localisation o MRI for ACTH-producing pituitary tumours o CT scanning for adrenal tumours

Other endocrine disorders


Symptoms suggestive of acromegaly include:

• excessive growth of hands (increased glove size)

• excessive growth of tissues, e.g. nose, lips, face

• excessive growth of feet (increased shoe size)

• increased size of jaw and tongue

• general: weakness, sweating, headaches

• sexual changes including amenorrhoea and loss of libido

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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