Expanding

Multisystem Processes & Disorders


Step 1: View Clinicals

{"ops":[{"insert":"A 40-year-old woman presents with easy fatigability, weakness, lethargy, and poor concentration for 10 months. She also complains of a weight gain of 9 kg over the last 6 months, which she believes has mainly affected her abdomen and neck.\n\nShe was recently diagnosed with impaired glucose intolerance but is currently not on any medications or dietary modifications.\n\nShe is a mother of two boys. Her periods are irregular and have occurred 6 times in the last 10 months, with the most recent period being six weeks ago. A urine pregnancy test is negative.\n\nA complete blood count is found to be within normal parameters.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-234_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Low-Dose DST
2. 24 hour Urinary Free Cortisol
3. Plasma ACTH Levels
4. MRI Pitutary

Want to continue playing?

Open your Clinical Odyssey account today.


Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.