Q177) A 52 Year old obese man is evaluated in your office during a routine annual visit. He denies any fatigue or recent weight changes. He has normal appetite and physically active. He had a colonoscopy 1 year ago that was normal. On physical examination, he is obese with a BMI of 34. Skin examination reveals the findings shown in the image below :
Which of the following is most likely to be seen in this patient?
A) Diabetes Mellitus, Type I
B) Gastric cancer
C) Increased Insulin levels
D) Hyperthyroidism
E) Addison’s disease
ccccccccc ,acanthosis nigrans
this is interesting b/c if not obese——-its can be a sighn of malignancy
since he is obese we can answer the question with high insulin levels
with resistance
Acanthosis…DM…..high insulin resistence
c
plz gve Answer!
answer is E
Very good one !
, most commonly in DM type 2
the answer is increase insulin level
If we did not pay attention , we might be trick into picking diabetes mellitus type 1 . ( lack of insulin) hahaha
Addison is highly unlikely , have to have other symptoms of adrenal insufficiency . Or ass with other autoimmune disease .
Gastric cancer is not the answer : patient is obese . No weight loss .