A 64-year-old male visits his general practitioner with increasing weight gain. In the last six months, he has gained 8 kg. He is constantly hungry, bruising easily, and is finding getting up from his armchair and climbing stairs hard. He feels depressed and wakes up early.
He doesn’t have any previous physical or psychiatric illness. He smokes around 30 cigarettes per day and drinks around 15 units of alcohol per week. Examination Overweight, particularly in the abdominal region Purple stretch marks on abdomen and thighs Skin is thin and with spontaneous bruises Pulse rate: 76/min Blood pressure: 168/104 mmHg Peripheral oedema Heart, respiratory, and abdominal systems: Normal Neurological examination: Normal, some weakness in shoulder abduction and hip flexion Urinalysis : - protein; - blood; ++ glucose Chest X-ray : Normal What can be the diagnosis for this case? (The answer is…
