Endocrinology
Acromegaly
Diagnosis (IGF-1, OGTT GH suppression), pituitary MRI, transsphenoidal surgery first-line, somatostatin analogues / pegvisomant, comorbidity management.
Source: Endocrine Society 2014
Step 1 of ~4
info
Recognise
Acral enlargement (hands, feet, jaw — prognathism), coarse facial features, soft tissue thickening, sweating, headache, sleep apnoea, hypertension, diabetes, carpal tunnel, arthralgia, visual field defects, organomegaly. Comparison with old photographs invaluable. Comorbidities: cardiovascular disease (cardiomyopathy, HTN, valve disease), diabetes, OSA, colon polyps, thyroid nodules.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Ethambutol · Antitubercular — First-Line TB (RIPE Regimen, 'E')
- Pyrazinamide · Antitubercular — First-Line TB (RIPE Regimen, 'P')
- Ethinylestradiol with levonorgestrel · Combined oral contraceptive (2nd-generation progestogen — first-line)
- Paracetamol (Paediatric) · Analgesic / Antipyretic — First-Line Pain and Fever in Children
- Midazolam (Paediatric) · Benzodiazepine — Status Epilepticus (First-Line) / Procedural Sedation
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
Pathways
- Diabetic Ketoacidosis (DKA) · JBDS 2013 / Joint British Diabetes Societies; NICE NG17
- Adult Hypoglycaemia (Treated Diabetes) · JBDS-IP (2023): Hospital Management of Hypoglycaemia
- Adrenal Crisis · Society for Endocrinology Emergency Guidance (2024)
- Type 2 Diabetes Management · NICE NG28 2022
- Hyperthyroidism Management · BTA / ETA 2018
- Adrenal Insufficiency · Society of Endocrinology / ESE 2016
Decision support only. Always apply local guidelines and clinical judgement.