Endocrine History taking

Endocrine History taking

1. Presenting complaint

   • SOCRATES
     • Family History: marfan's, DM
       • Social History: smoking, occupation (stress)
         • Drug History: Hormonal therapy, thyroid meds, diabetic meds, prostate meds, steroids
   • Alimentary changes
     • Weight loss: thyrotoxicosis, DM
     • Weight Gain: Cushing's
     • Appetite: loss-addison's vs. increased- thyrotoxicosis
     • Diarrhea: Hyperthyroid, addison's
     • Constipation: hypothyroi, hypercalcemia
     • Polydypsia: DM, hypercalcemia
   • Integmental changes
     • Pigmentation: hypopit, cushings, addison's
     • Dryness: Hypothyroidism
     • overgrowth: Acromegaly
   • Neuro changes
     • irritability: thyrotoxicosis
     • Fatigue: hypothyroid, DM, Addison's, acromegaly
     • Headaches & seizures: Hypoglycemia
     • visual loss: Acromegaly, DM
   • Urogenital changes
     • polyuria: DM, DI, polydipsia
     • Menstrual cahnges: PCOS, Pituitary disease
     • impotence: hyperprolactinoma, hypogonadism, acromegaly
   • Rheumatoid changes
     • short stature: dwarfism
     • hand/skull boy growth: Acromegaly