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Endocrine History

From Mediwikis

Presenting Complaint

The key things to look for in an Endocrine history is a change that is apparent to the patient. The symptoms tend to be vague and non-specific (unless dramatic presentation e.g. DKA) so work systematically. The headings below can be used as a framework, get details.

  • Wash hands
  • Introductions, explanation and consent

General

  • Appetite and weight change
  • Polydipsia and polyuria
  • Lethargy
  • Heat and cold tolerance
  • Emotional changes (e.g. low/elevated mood, anxious)

Systems

  • Headache
  • Changes in vision
  • Hair changes
  • Neck lump
  • Skin changes and sweating
  • Change in bowel habit

Specific to gender

Ask carefully about:

  • Menstrual changes
  • Erectile dysfunction
  • Changes in libido

Rest of the History

Cover as normal, remember to ask in the PMH and FH about autoimmune diseases. They can run in families and if a patient already has one, they are more likely to have another.