Question

In high school, Jake had been a tall and well-coordinated student who was sought after by his school’s sports teams. He’d played on both the football and basketball teams. In his second year of college now, Jake came to the Student Clinic because of a sprained wrist. This gave the nurse an opportunity to do a complete history. In the course of the history, Jake mentioned that he felt clumsy compared to his high-school-athlete self. He was a large and slender young man, six feet four inches tall. He said probably his awkwardness was because he did not take any time for sports now, or even for physical activity beyond walking across campus, because college demanded so much study time and he also had a part-time job. Jake said he had not been especially tall in grade school. His growth spurt came in junior high. At one point, Jake scratched his head thoughtfully and said, “But you know, I think I’ve grown a lot since high school. And I’m still growing.” The nurse was about to say that people often do, when he began to suspect that Jake’s size might be due to an endocrine condition.

1. What condition might Jake have? A. Gigantism B. Acromegaly C. Hypopituitarism D. Cushing’s syndrome

2. How would the diagnosis be confirmed?

3. How would you rule out the other options in #1?

4. What is Jake's prognosis and treatment plan?

Answer 1

According to the case Jake is og GIgantism

which is characterized by the increases growth hornone in the body as the endocrine disorder

This dignostic may be confirmed by the oral glucose tolerance test as well as by the MRI ie magnetic resonance imaging

Other otions my be ruled out as the agromegaly is thyroid disorder

hypopitutarism causes the dwarfism

and cushing syndrome is adrenal disorder

in the prognosis of the jake nursing staff should prepare the therpeutic plan and can go for radiation therapy followed by the surgery