Hyperthyroidism DIAGNOSTIC SUMMARY • Weakness, sweating, weight loss, nervousness, loose stools, heat intolerance, irritability, fatigue • Tachycardia; warm, thin, moist skin; stare; tremor • Diffuse, nonpainful goiter • Increased thyroxine (T4), free T4,…
Hair Loss in Women DIAGNOSTIC SUMMARY • Increased hair loss not diagnosed as alopecia. GENERAL CONSIDERATIONS Physiology of the Hair Cycle There are 100,000 to 350,000 hair follicles on the…
Fibromyalgia Syndrome DIAGNOSTIC SUMMARY • Affects 2%-13% of population, 80%-90% of which are female. • Chronic widespread pain involving axial pain; pain on left, right, upper, and lower parts of body….
Gallstones DIAGNOSTIC SUMMARY • May be asymptomatic or cause biliary colic with irregular pain-free intervals of days or months. • Real-time ultrasonography provides definitive diagnosis. GENERAL CONSIDERATIONS Gallstones are a “Western…
Fibrocystic Breast Disease DIAGNOSTIC SUMMARY • Very common: 20%-40% of premenopausal women. • Pain or premenstrual breast pain and tenderness common, although the condition is often asymptomatic. • Cyclic and bilateral with…
Dermatitis Herpetiformis DIAGNOSTIC SUMMARY • Pruritic, blistering rash usually on extensor surfaces. • Most common in middle-aged white males, although may present in individuals of any age. • Immunoglobulin (Ig) A deposits…
Congestive Heart Failure DIAGNOSTIC SUMMARY • Left ventricular failure: exertional dyspnea, cough, fatigue, orthropnea, cardiac enlargement, rales, gallop rhythm, and pulmonary venous congestion. • Right ventricular failure: elevated venous pressure, hepatomegaly,…
Erythema Multiforme DIAGNOSTIC SUMMARY • Sudden onset of symmetric, erythematous, edematous, macular, papular, urticarial, bullous, or purpuric skin lesions. • Evolves into “target lesions” (“bull’s eye” lesions with clear centers and…
Chronic Candidiasis DIAGNOSTIC SUMMARY • Chronic fatigue and malaise • Gastrointestinal bloating and cramps • Vaginal yeast infection • Allergies and/or low immune function • Carbohydrate craving • History of broad-spectrum antibiotic use GENERAL CONSIDERATIONS…
Endometriosis DIAGNOSTIC SUMMARY • Triad of symptoms: dysmenorrhea, dyspareunia, infertility. • Physical examination: reveals one or more of the following: tenderness of the pelvic area and/or cul-de-sac, enlarged or tender ovaries,…
