Thursday, August 25, 2011

Pouch of Wrath

A 10 year old child is brought in by parents because her teacher has noted that she has visual impairments. You note decreased peripheral vision on exam. On her growth chart, you note that she is 3% of her expected height and weight. She has no signs of puberty yet. The only complaint she has is headache. Laboratory testing shows decreased growth hormone, GnRH, and TSH.

Challenge: What's your diagnosis?

Image shown under Creative Commons Attribution 2.0 License.

3 comments:

daisy said...

craniopharyngioma

FIRECRACKER said...

Craniopharyngioma

Craig Chen said...

i'm impressed!
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Pouch of Wrath

Craniopharyngiomas are solid or mixed-cystic tumors arising from remnants of Rathke’s pouch.

Source: UpToDate; Wikipedia.