See also: Weight loss Ddx

 

Hx
     Amount
     Duration
     Timing (relation to medication changes, smoking cessation, depression)
     Diet history
     Hypothyroid symptoms
          Fatigue
          Constipation
          Skin/hair/nail changes
     Menstrual irregularity
     PMHx
     Alcohol and drug use

PE
     Vital signs
     Complete exam
     Cushing's syndrome signs
          Hypertension
          Central obesity
          Moon face
          Buffalo hump
          Supraclavicular fat pads
          Purple abdominal striae

Ddx
     Smoking cessation
     Drug side effect
     Hypothyroidism
     Cushing's syndrome
     Polycystic ovarian syndrome
     Diabetes mellitus
     Atypical depression

Workup
     CBC, electrolytes, glucose
     TSH
     Dexamethasone suppression test
     24-hour urine free cortisol

Content on this page has not been checked for accuracy. The author's credentials have not been confirmed. Always use multiple peer-reviewed scholarly sources and good clinical judgement in your decision making.

The Compendium platform was created by David Kwinter, MD, CCFP(EM).

Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.