Endocrine Flashcards
Broad diagnoses for symptoms of fatigue and weight loss?
Endocrine
Mental health
Neoplastic
Inflammatory/infective
Endocrine symptom checklist?
- Prefer hot or cold rooms/weather
- Sweating
- Fatigue
- Hand trembling
- Neck swelling
- Change in weight
- Thirst
- Change in urine volume/frequency
CVS symptom checklist?
- Chest pain
- Shortness of breath at rest or exertion
- Lie flat, pillow use (orthopnoea)
- Breathless at night (may be PND; ask for clear description of this)
- Palpitations (may be sign of hyperthyroidism)
- Ankle swelling (peripheral oedema, may be sign of hypothyroidism)
- Cold/blue hands, feet
- Pain in calves on walking (claudication)
Respiratory symptom checklist?
- Cough
- Sputum, colour, volume
- Any blood in sputum (haemoptysis)
- Shortness of breath
- Wheeze
- Fever, night sweats
- (Breast; lumps, bleeding, discharge)
GI symptom checklist?
- Bloating, distension
- Indigestion, heartburn
- Problems swallowing (dysphagia)
- Pain on swallowing (odynophagia)
- Change in weight
- Bowel habits; change? Colour? Consistency?
- Faecal incontinence
Genitourinary system checklist?
- Incontinence
- Frequency and volume of urination
- Pain on passing urine (dysuria)
- Night-time urination
- Colour of urine
- Blood in urine (haematuria)
- Hesitancy, dribbling
- Genitourinary pain
- Genital rashes, lumps
- Menstrual cycle
Neurological system checklist?
- Headaches
- Vision, hearing + aids for this
- Speech difficulties
- Dizziness, vertigo
- Faints, fits, blackouts
- Weakness
- Numbness
- Coordination problems
- Walking, unsteadiness, falls
- Sleep disturbances
- Tremors
- Concentration
- Memory
Musculo-skeletal system checklist?
- Joints; pain, stiffness, swollen
- Variation in joint pain during day
- Fingers painful/blue in cold
- Dry mouth, red eyes
- Fever, skin rashes, ulcers
- Nodules or lumps
- Back or neck pain
Vascular system checklist?
- Pain at rest or walking (calves – claudication)
- Skin changes or ulceration
- Cold hands and feet
- Reduced exercise tolerance
- Loss of/reduced sensation
- Swollen ankles
Mental health checklist?
- Any recent change in mood
- Any thoughts of self-harm?
- Any problems with memory or concentration?
- Hallucinations or delusions
- Intellectual change
What is HbA1c?
HbA1c is your average blood glucose (sugar) levels for the last two to three months.
Difference between hyper and hypo thyroidism:
a) heat tolerance
b) weight
c) hair
d) mood
e) tremor
f) voice
g) menstrual period
h) activity levels
Hyper:
a) heat intolerance
b) weight loss
c) hair loss
d) anxiety/irritability
e) tremor
f) no change
g) menstrual irregularity
h) frenetic activity
Hypo:
a) cold intolerance
b) weight gain
c) hair loss
d) low mood
e) no change
f) hoarse voice
g) menorrhagia
f) lethargy
What is menorrhagia?
Menstrual periods with abnormally heavy or prolonged bleeding
