Final answer:
The diagnosis for a patient with reduced EF, coarse facial features, and enlarged fingers is acromegaly. Diagnostic steps include checking IGF-1 levels and performing a glucose suppression test. Treatment options include surgery, medication, and radiation therapy.
Step-by-step explanation:
The diagnosis for a patient with reduced EF (ejection fraction), coarse facial features, and enlarged fingers is acromegaly. Acromegaly is a disorder caused by abnormally high levels of growth hormone (GH) triggering the growth of bones in the face, hands, and feet. Diagnostic steps for acromegaly include checking IGF-1 levels (which are usually high) and performing a glucose suppression test. In some cases, an MRI may be done to locate any tumors affecting the pituitary gland.
Treatment options for acromegaly include surgery to remove the tumor, medication to reduce GH production, and radiation therapy to shrink or destroy the tumor. The specific treatment plan will depend on the individual case and may involve a combination of these options.