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A 33 yr. female history of gastritis, depression, obesity and
hair loss.
Progressive thinning.
Facial plethora
Prominent truncal facial
Nuchal deposit
Non scarring alopecia
CUSHING SYNDROME
GOITER
ADDISON`S DISEASE
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lack of energy
or motivation
(fatigue)
muscle
weakness.
low mood.
loss of appetite
and
unintentional
weight loss.
increased
thirst.
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A swelling in the
front of the neck,
just below the
Adam's apple.
A feeling of
tightness in the
throat area.
Hoarseness
(scratchy voice)
Neck vein swelling.
Dizziness when the
arms are raised
above the head.
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weight gain.
thin arms and legs.
a round face.
increased fat around
the base of the neck.
a fatty hump
between the
shoulders.
easy bruising.
wide purple stretch
marks, mainly on the
abdomen, breasts,
hips, and under the
arms.
weak muscles
.
HYPERTHYROIDISM
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Nervousness and
irritability
Increased resting heart
rate, which causes heart
palpitations
Heat intolerance and
increased sweating
Tremors
Weight loss with
increase in appetite
Frequent bowel
movements
Thyroid enlargement
causing a lump in the
neck
Pretibial myxedema,
which causes a thick
redness on the front of
legs and typically occurs
with Graves' disease
Thin, delicate skin and
irregular fingernail and
hair growth
Menstrual disturbance,
such as decreased flow
Mental disturbances
insomnia
THYROIDITIS
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weight loss.
nervousness, anxiety,
or irritability.
trouble sleeping.
rapid heart rate.
fatigue.
muscle weakness.
tremors (shaking hands
or fingers).
Changes in vision, eye
irritation or
exophthalmos, which is
a protrusion of the eyes
that typically occurs with
Graves' disease
DDX
MOST LIKELY
 CUSHING SYNDROME
NEED TO RULE OUT
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ADDISON`S DISEASE
 Diagnosis: CUSHING SYNDROME
NOT LIKELY
 THYROIDITIS
 HYPERTHYROIDISM
 GOITER