case-presentation_97

ENDOCRINOLOGY GRAND ROUNDS

1398/02/09

Dr. Nosrat Zehi

Dr. Kazazi

ID and Source of the History

A 48 y/o woman , from Tehran , single

Source of the history  : herself and  was reliable

Chief Complaint

Generalized weakness  ,Visual Impairment , Irritability And paranoid psychosis.

Present illness

Headache

Proximal  myopathy

Easy bruising

Menstruation problem (metrorrhagia)

Depression

Weight  loss : 7 kg in 2.5 months

Recent Diabètes mellitus

Recent  hypertension

 Past history

PMH : Not significant

PSH : Negative

HH : Negative  (smoking, Alcohol, opioid or drug abused)

Gyn. History : The onset of menstruation has been

regular since at 12 years old (except from 2 years ago )

FH : Meningioma In Her Mother  (alive) and have  2 sisters and  4 brothers without prior history of diseases or medical problem.

DH : Negative before recent surgery At 25.1.98 (Levothyroxine 0.1 mg daily, Tab prednisolone 7.5 mg daily, DIAMOX 250 mg QID, Novomix 20U morning/10U night & Metformin  500 mg BD )