CLINICAL MEDICINE

MEDICINE

NEPHROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A 40 year old man came with complaints of getting fatter since 1 month. From the physical examination, there was a moon face, buffalo hump and strie in the stomach. TTV results obtained BP 160/90 mmHg, HR 90x/minute, RR 20x/minute. History of steroid consumption was denied. From the results of the dexamethasone 8 mg suppression test, ACTH and cortisol suppression were found. What investigations should be carried out to find out the etiology of the case above?
A
CT scan abdomen
B
Head MRI
C
Check CEA biomarkers
D
Check up TSH
E
Check blood sugar profile
Explanation: 

Detailed explanation-1: -Obesity is a complex disease involving an excessive amount of body fat. Obesity isn’t just a cosmetic concern. It’s a medical problem that increases the risk of other diseases and health problems, such as heart disease, diabetes, high blood pressure and certain cancers.

Detailed explanation-2: -Obesity, defined as an excessive amount of body fat, is a common and expensive medical condition in the U.S., strongly associated with an increased risk of heart disease, stroke, type 2 diabetes, and certain types of cancer, as well as premature deaths from these diseases.

Detailed explanation-3: -The mechanisms through which obesity causes hypertension are complex and include sympathetic nervous system overactivation, stimulation of the renin-angiotensin-aldosterone system, alterations in adipose-derived cytokines, insulin resistance, and structural and functional renal changes.

Detailed explanation-4: -All-causes of death (mortality). High blood pressure (hypertension). High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (dyslipidemia). Type 2 diabetes. Coronary heart disease. Stroke. Gallbladder disease. More items

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