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Director
Deputy for Aministrative Affairs
Main page
Finance management
Management of Administrative Affairs
Director of the budget and organization
IT management
Deputy for Research Affairs
Main page
Approved Research Projects
continuous education
Main page
Terms and Conditions
Research Centers
Reproductive Endocrinology Research Center
Prevention of Metabolic Disorders Research center
Nutrition and Endocrine Research Center
Endocrine Physiology Research Center
Cellular-Molecular Research Center
Prevention and Treatment of Obesity Research Center
Endocrine Research Center
Research Center for Social Determinants of Health
Laboratories
Research Laboratories
Tehran-Lipid-and-Glucose-Study
Tehran Lipid and Glucose Study book
Grand Round
Journal Club
Weekly Conferences
congresses
symposia
Workshops
gathering
Public Education for endocrine disorders
Professional Medical Education for endocrine disorders
Endocrine Ward
News and Gallery
News
Image Gallery
Library
Journal of Endocrinology and Metabolism Iran - Persian
International Journal of Endocrinology & Metabolism
PowerPoint slides in Endocrinology and Metabolism - by Prof.Azizi
Publishers
Departmentof Biostatistics and Epidemiplogy
Fasting and health
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Grand Round
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Case 29 April
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discussion-presentation84
discussion-presentation84
IN THE NAME OF ALLAH
shahin nosratzehi
manifestations of glucocorticoid excess were rapid and progressive
Weight loss
myopathy
and glucose intolerance are prominent symptoms and signs.
Hypokalemic metabolic alkalosis (EAS patients 90% vs. 10 - 15% in CD)
ACTH levels in the ectopic ACTH syndrome are high (usually >20 pmol/L [>90 pg/mL]); nevertheless, overlap values are seen in CD in 30% of cases.
A 62-year-old man with a past medical history of obesity and HTN, without any previous medication
was admitted to the emergency department With
altered mental status, polyuria, polydipsia
irritability
easy bruising
and proximal muscle weakness of sudden onset. (1 month prior)
physical examination
slight dehydration, obesity (BMI:31.2 kg/m2)
moon face, echymoses on the upper limbs
proximal muscle weakness
There was no peripheral edema, striae
At admission, plasma glucose was 452 mg/dL (25 mmol/L), serum potassium 2.7 mmol/L, arterial pH 7.6, and bicarbonate 50 mmol/
cranial magnetic resonance imaging (MRI) was performed:
a right-sided sellar expansive lesion with suprasellar and right cavernous sinus extension measuring 22 mm maximum diameter
The patient underwent endoscopic transsphenoidal tumor excision, with pre-operative preparation with metyrapone.
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