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Medicine Disorders of pituitary gland 2396f3ee

A 45 year old male met with road traffic accident & sustained severe head injury. Later he develops pituitary insufficiency & is staed on thyroid hormone, testosterone, glucocoicoids, and vasopressin. All of the following can be found in this patient because of growth hormone deficiency EXCEPT:

A
Abnormal lipid profile
B
Atherosclerosis
C
Increased bone mineral density
D
Increased waist-to-hip ratio
High-Yield Explanation
Increased bone mineral density is not seen in GH deficiency Features of growth hormone deficiency are: Clinical Imaging Laboratory Increased body fat mass Decreased lean body mass Increased waist-to-hip ratio Impaired cardiac structure & function Impaired lipid profile Atherosclerosis Decreased fibrinolytic activity Pituitary- mass or structural damage Bone- decreased bone mineral density Abdomen- excessive omental fat Evoked GH <3ng/ml IGF-1: decreased Increased LDL

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