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acromegaly A-case-of-acromegaly-before-Pierre-Marie-published-by-Fritsche…
acromegaly 
A rare condition that result from excessive growth hormone in the body usually due to a pituitary adenoma in adulthood
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pathophysiology
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Tumors mass itself may induce optic nerve, chiasm or tract compression, cranial nerve , headache , hydrocephalus and hypopituitarism
patients with acromegaly may also be at increased risk for cardiac hypertrophy ,hypertension , arthritis , sleep and development of other neoplastic lesions ,particulary in the n the colon
many of the growth related outcomes of acromegaly are mediated by elevated levels of IGF-1, produced in the liver in response to GH
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diet therapy
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take grain food mostly whole grain such as rice ,bread and creals
take milk , yoghurt and chees
monitor for cardio- respiratory changes eg weight gain.
rom exercise.
soft, easy to chew diet.
analgesia.
.safety measures with visual impairment
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Disturbed body image related to anxiety over thickened skin and enlargement of face , hands and feet
Ineffective coping related to change in appearance.
disturbed sensory perception.
disturbed sleeping pattern.
fluid volume deficit.
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