Wednesday, December 17, 2008

Medical Challenge - What's the Diagnosis?

This is a great challenge from the New England Journal of Medicine. These two are identical twins but look quite different. The one on the right has an endocrine disorder. What is it? The answer will be posted tomorrow. Click on the image for a closer view.

1. Acromegaly ( high growth hormone -giantism)
2. Addison's disease (low cortisol)
3. Cushing's syndrome (high cortisol)
4. Hypogonadism (low testosterone)
5. Hypothyroid (low thyroid)


Anonymous said...

3. Cushing's

Sonnet said...

This patient is not thin or dehydrated (against Addison).
He has a central abdominal obesity with gynacomastia. loss of normal musculine hair distribution.
Mostly ,It is Cushing syndrome.

Healthnut said...

With the pot belly, it has to be some metabolic disorder. I would say Cushing.

The Happy Hospitalist said...

i'm going to guess hypogonadism. Like the alcoholics get.

shadowfax said...

Endocrine? What's that?

Your friendly neighborhood ER doc. :D

(Just for the record, I agree with Happy)

ERP said...

I say Hypogonadism.

tracy said...

Oh, no! How can you disagree with a physican!? Hypogonadism.

wild heart said...

WELL , I can see

1 - central obesity

2 - gynecomastia

3 - no normal male hair distribution

i think cushing is the answer

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