1. Presenting complaint
2. Alimentary changes
3. Integumental changes
4. Nervous changes
5. Rheumatoid changes
6. Urogenital changes
7. Past medicalsurgical history
8. Familysocialdrug history

Presenting complaint

• SOCRATES

Alimentary changes

• Weight loss (thyrotoxicosisDM) vs. gain (Cushing'shypothalamic dz).
• Wasting.
• Appetite: loss (Addison's) vs. increased (thyrotoxicosis).
• Diarrhea (hyperthyroidAddison's)
• Constipation (hypothyroidismhypercalcemia).
• Polydipsia [excess drinking] (DMrenal dzhypercalcemia).

Integumental changes

• Pigmentation (hypopituitarismCushing'sacromegalyAddison's). See SkinColors Reference.
• Dryness (hypothyroidismhypoparathyroidism).
• Sweating (hyperthyroidismpheochromocytomaarcomegaly).
• Overgrowth (acromegaly).

Nervous changes

• Nervousnessirritability (thyrotoxicosis).
• Fatigue (hypothyroidDMAddison'sacromegaly).
• Headaches (hypoglycemia).
• Seizures (hypoglycemia).
• Visual loss (acromegalyDM).

Rheumatoid changes

• Shorter stature.
• Gigantism (Marfan'sKleinfelter'sgrowth hormone).
• Handskull bony growth (acromegaly).

Urogenital changes

• Polyuria (DMDIpolydipsia).
• Menstrual changes (polycystic ovarypituitary dz).
• Impotence (hyperprolactinemiahypogonadismacromegaly).

Past medicalsurgical history

• Congenital problems.
• Goiterthyroid problems.
• Thyroidectomy.
• Thyroid surgeryradiation.
• Parathyroidpituitary surgery.

Family history

• Condition in a family member (Marfan'sDM).

Social history

• Smoking: ever smokedhow many per dayfor how longtype [cigarettepipechew] (DM).
• Occupation (stress).
• Who is with you there at home [often chronic dz].

Drug history

• HRT.
• Thyroid drugs.
• Diabetic drugs.
• Prostate dz drugs.
• Steroids.

Endocrine Exam »

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