Which of these tests is the first to be performed in a patient with the following presentation?: (A) ABG sampling, (B) IGF- 1 levels, (C) RA factor, (D) HLA- B27 levels
Answer is B. IMAGE : SPADE LIKE DEFORMITY OF HANDS: Seen in ACROMEGALY Screening test done: IGF -1 IOC: Glucose challenge test (GCT) Treatment: Surgery (Transphenoidal Resection) If recurrence seen: PEGVISOMANT