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5 Cards in this Set

  • Front
  • Back
Key History -
Amount
duration

timing -
relation to med changes
smoking cessation
depression

diet Hx

hypothyroid Sxs -
fatigue
constipation
skin/hair/nail changes

menstrual irregularity
PMH
alcohol and drug use
Key PE -
VS
complete exam
include signs of Cushing's -
HTN
central obesity
moon face
buffalo hump
supraclavicular fat pads
purple abdominal striae
44 y/o F
presents with a weight gain of > 11 kg over the past 2 mos
She quit smoking 3 mos. ago and is on amitriptyline for depression.
She also reports cold intolerance and constipation.

What is Differential?
Smoking cessation

drug side effect
hypothyroidism
Cushing's syndrome
polycystic ovary syndrome
DM
depression
44 y/o F
presents with a weight gain of > 11 kg over the past 2 mos
She quit smoking 3 mos. ago and is on amitriptyline for depression.
She also reports cold intolerance and constipation.

What is Workup?
CBC, electrolytes, glucose
TSH
24-hr urine free cortisol
dexamethasone suppression test
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