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Q&A New Feature
Verified response It is NOT the hyperandrogenemia persee from PCOS -- but rather from the syndrome itself . These women who tend to be overweight with BMI >30kg/m2, with PCOS, experience oligo or anovulatory cycles, hyperandrogenism [acne, alopecia & hirsutism], infertility & Insulin resistance [seen in upwards of 35% of PCOS pts, with frank type 2DM from 7.5 to 10%] Since this Insulin resistance which dangerously leads to Diabetes, metabolic syndrome, OSA(Obstructice sleep apnea) & NASH [non alcoholic steatohepatitis] ---- disappears with weight loss & on metformin & TZD. Further women who lose weight resultantly have REDUCED ANDROGENS & serum LH levels, along with improved Insulin resistance, & improved ovulatory rates Therefore it is the nature of how excess fat is dealt with by the body which promotes gluconeogenesis & glycogenolysis
2 Reply
Verified response It is NOT the hyperandrogenemia persee from PCOS -- but rather from the syndrome itself . These women who tend to be overweight with BMI >30kg/m2, with PCOS, experience oligo or anovulatory cycles, hyperandrogenism [acne, alopecia & hirsutism], infertility & Insulin resistance [seen in upwards of 35% of PCOS pts, with frank type 2DM from 7.5 to 10%] Since this Insulin resistance which dangerously leads to Diabetes, metabolic syndrome, OSA(Obstructice sleep apnea) & NASH [non alcoholic steatohepatitis] ---- disappears with weight loss & on metformin & TZD. Further women who lose weight resultantly have REDUCED ANDROGENS & serum LH levels, along with improved Insulin resistance, & improved ovulatory rates Therefore it is the nature of how excess fat is dealt with by the body which promotes gluconeogenesis & glycogenolysis
2 Reply

Diagnosis & Mx plan

patient presented with repeated episodes of oral ulceration. good response with topical steroids. no urinary complaint.

Verified response ulcerative lesion on dorsal surface of tongues could be tuberculous ulcer ddx traumatic, erosive glossitis ,so need for p-exam and base line investigations.
1 1 Reply

Patient of 85 years presenting with redness of the nose with small whitish spots. What do you think ?

Verified response Collapse with mass lesion in rt side. Shifting of trachea to left,homogenous opacity in rt mid & lower zone. Also homogeneous opacity in rt upper zone probably pancoats tumor
3 Reply

45y Female. Prominent superficial veins in lower limb, left side. No history of pain. Mild Swelling. Not a case of DM, Hypertension.

Verified response These arereticular veins or spider veins. Commonly associated with a deeper pathology and venous insufficiency. Kindly evaluate the patient further for underlying or deeper cause. post the evaluation you can suggest the treatment. Sclerotherapy would definitely help with the symptoms ike l=itching or burning and cosmetic improvement.
4 Reply
Cva

Diziness since 2months

Verified response CT scan brain plain study showing bilateral basal ganglia calcification and bilateral cerebellar calcification.. differential diagnosis are parathyroid gland disorders fahr syndrome prior radiation exposure needs symptomatic treatment and seems patient already has cerebral cortex atrophy and hydrocephalus.. perform thorough CNS examination and age?? evaluation of parathyroid profile..
5 1 Reply

diagnosis? ?

male, 7 years, no itchy

Q&A New Feature