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Chapter: Medicine Study Notes : Endocrine and Electrolytes

History - Endocrine and Electrolytes

Symptoms widespread and often insidious

History

 

·        Symptoms widespread and often insidious

·        Enquire about previous endocrine gland problems, surgery, etc

·        Major symptoms:

·        Changes in appetite and weight:


·        Bowel:

 

o   Diarrhoea Þ hyperthyroidism or adrenal insufficiency

o   Constipation Þ hypothyroidism or hypercalcaemia

 

·        Sweating: hyperthyroidism, phaeochromocytoma, hypoglycaemia, acromegaly (also anxiety and menopause)

·        Subcutaneous thinning: either ¯androgens (old men and post-menopausal women) or ­ Cortisol

·        Amenorrhoea:  ­PRL (by only a little), ­Cortisol (takes bigger increase), ­­hyperthyroidism

·        Nocturia: ¯ADH, or Diabetes from ¯insulin, ­cortisol or ­GH


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