Concealed

Multisystem Processes & Disorders


Step 1: View Clinicals

{"ops":[{"insert":"A 42 year old woman presents with oligomenorrhea for 2 years, and 30 kg of weight gain during the same period, even though her diet remained unchanged.\n\nHer medical history is significant for type 2 diabetes, hypertension and dyslipidemia for 3 years; while well controlled initially, these have worsened over the last year. She is currently on Metformin, Gliclazide, Telmisartan, and Rosuvastatin.\n\nHer family history is significant for polycystic ovarian disease in a sister. She only drinks socially and does not smoke.\n\nA full blood count is within normal parameters, as are serum electrolytes, and renal and liver profiles. A thyroid profile and serum FSH, LH, testosterone, and growth hormone levels are also normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-078_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Low-Dose DST
2. 24-Hour Urinary Free Cortisol
3. Early morning ACTH
4. MRI Chest + Abdomen

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