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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 )
