Endocrine System

#Endocrine System

S: Subjective

Hyperthyroidism Symptoms: 
(-) heat intolerance 
(-) weight loss 
(-) increased appetite 
(-) palpitation 
(-) hyperhydrosis 
(-) nervousness/increased arousal 
(-) diarrhoa

Hypothyroidism Symptoms: 
(-) goitre 
(-) cold intolerance 
(-) low energy 
(-) periorbital oedema 
(-) hoarse voice 
(-) coarse skin 
(-) constipation

Diabetes Mellitus Symptoms: 
(-) polyuria 
(-) polydipsia 
(-) abnormal thirst 
(-) skin infections

Adrenal Symptoms: 
(-) resistant hypertension 
(-) hypotension 
(-) orthostatic symptoms 
(-) skin pigmentation

Female Reproductive Symptoms: 
(-) cycle abnormality 
(-) abnormal pv bleeding 
(-) altered libido

Male Reproductive Symptoms: 
(-) erectile dysfunction 
(-) reduced stamina/energy 
(-) altered libido

(-) Other Complaints ->

Symptom Development:
- Onset: 
- Variation: 
- Aggravating factors: 
- Relieving factors:

Past Medical History:
(-) neck surgery or irradiation (around the thyroid gland) 
(-) delivery of large babies 
(-) gestational diabetes 
(-) hypertension 
(-) pheochromocytoma 
(-) Cushing syndrome 
(-) Cohn syndrome (hyperaldosteronism) 
(-) infertility

Family History:
(-) goitre 
(-) diabetes mellitus 
(-) multiple adenomas (autosomal dominant)

Treatment History:
(-) iodine supplements 
(-) antithyroid drugs 
(-) iodine-131 
(-) thyroxine 
(-) insulin and other glucose-lowering medication 
(-) corticosteroids 
(-) mineralocorticoids 
(-) sex steroids

Current Treatment:
(-) iodine supplements 
(-) antithyroid drugs 
(-) iodine-131 
(-) thyroxine 
(-) insulin 
(-) other glucose-lowering medication 
(-) corticosteroids 
(-) mineralocorticoids 
(-) sex steroids/OCP 
(-) other ->

O: Objective

Examination:
- Height (m): 
- Weight (kg): 
- BMI (weight/height^2):

- Heart rate (bpm): 
- Blood pressure (mmHg): 
- Respiratory rate (/min): 
- SpO2 (%): 
- Temperature (deg. C):

(-) goitre
(-) exophthalmos
(-) pretibial myxoedema
(-) lid lag
(-) central obesity

Investigation Results:

A: Assessment

Clinical Summary:

Diagnosis / DDx:

P: Plan

Investigations:

Treatment:

Referrals:

Patient Education / Home Care Advice:

Review:

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