A 38-year-old woman visited her family doctor because she had been experiencing chronic fatigue and weakness, especially in her legs. Upon greeting the patient, the doctor noted that although she was mildly obese, her face seemed unusually round. During questioning, he learned that at her recent 20-year high school reunion, nobody recognized her because her face had changed so much. He also learned that she suffered a chronic unrelenting headache. Physical examination yielded, in addition to the facial findings, an unusual fat distribution that included a hump on the upper back and marked truncal obesity. Additional findings included hypertension and blindness in the lateral visual fields of both eyes (bitemporal hemianopsia). Laboratory findings were remarkable for elevated blood glucose and other evidence that glucocorticoid levels were high.

Can a correlation be drawn between the patient's visual findings and the rest of her clinical picture? Give your diagnosis and explain all the symptoms. ( With your knowledge of the endocrine system and special senses)

(7 points total)