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GIGANTISM - Coggle Diagram
GIGANTISM
causes
multiple endocrine neoplasia type 1
McCune-albright syndrome
neurofibromatosis
carney complex
pirtuitary gland tumor
treatment
hypophysectomy
drug therapy using octreotide and lanreotide
also recommend bromocriptine and carbegoline
pegvisomant
gamma knife radiosurgery
nursing intervention
provide emotional support to client
prepare family to care for members
increase clients confident by encouraging involvement in recreational activities
prepare family to adapt to the disease
act as an advocate
clinical manifestations
very large hands and feet
prominent jaw and forehead
thick toes and fingers
headache and insomia
diagnostic studies
oral glucose tolerance
MRI scan for size and position of tumor
blood tests to measure GH and IGF-1 levels
pathophysiology
before fusion of long bone epiphysis by tall statue
growth hormone hypersecretion
references
https://www.barrowneuro.org/centers-programs/pirtuitary-and-neuroendocrine-disease/what-we-treat/gigantism/
Daughaday WH. Pirtuitary gigantism. Endocrinol Metab Clin North Am 1992;21:633
rare condition causing abnormal growth in children.