FoCM Endocrine history

Question 1

What are common presenting symptoms for thyroid disease?

Answer 1

Neck swelling

Neck pain

Question 2

What should be asked about in a history suggesting hyperthyroidism

Answer 2

• fatigue/poor sleep
• tremor
• problems with sweating
• weight loss, diarrhoea

Question 3

What should be asked about in a history suggesting hypothyroidism?

Answer 3

Fatigue, mental slowing, depression

Cold intolerance

Weight gain

Constipation

Question 4

What are common (types of) presenting symptoms associated with pituitary problems

Answer 4

Headache

Visual problems - (think how close the Pituitary and optic chiasm are)

Sexual/Reproductive problems

Question 5

For a history suggestive of hypopituitarism - what would you ask?

Answer 5

Presenting complaints - Headache, visual problems, repo problems

Ask about:

• Headache (chronic-ish)
• Visual problems - visual impairment, vision loss
• Vomiting
• Altered consciousness
• Hormone specific problems:
  
  • Thyroid - fatigue, weight gain/change, constipation
  • Gonadot’s - Sx involving repo stuff

Question 6

What are the common presenting symptoms for diabetes?

Answer 6

Excessive urine passage (polyuria) - possible nocturia

Thirst

Weight loss

Fatigue

Blurred vision

Question 7

What questions should you ask in a diabetes HOP?

Answer 7

How often do you need to go to pass urine?

• Have you had any problems with passing urine at night?

Have you noticed you’re often feeling thirsty?

Have you noticed any weight changes?

Have you had any problems with your sight?

How do you feel generally? (fatigue, mood changes)

Other:

• if getting sick a lot

Question 8

How does