History A 64-year-old overweight male complained of a constant increase in weight. He had gained 8 kg of weight over the past six months and noticed that he was constantly hungry. Also, it had been difficult for him to get up from his armchair or to climb stairs. He felt depressed and found himself waking up early in the mornings. He had no previous history of physical or psychiatric illnesses. He smoked 30 cigarettes per day and drank 15 units of alcohol per week.

Examination The man was overweight, particularly in the abdominal region. There was a purple stretch mark on his abdomen and thighs. His skin was thin, and there were spontaneous bruises. Pulse: 76/min Blood pressure: 168/104 mmHg. Peripheral edema: ++ Heart rate, respiratory rate, and abdomen were normal *This case is from the Editorial team of Docplexus and is meant for educative purposes only. (The correct answer is posted…