IHUMAN Endocrine Case (Hypothyroidism) Complete Review
1. Patient Encounter
- History Taking:
- Patient Name: David Miller
- Age: 52
- Gender: Male
- Chief Complaint: "I've been feeling extremely tired and
gaining weight despite not changing my diet."
- History of Present Illness (HPI): David reports that he has
been experiencing extreme fatigue, weight gain, and cold
intolerance for the past three months. He also mentions dry skin,
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hair loss, and constipation. He denies any changes in appetite or
recent illnesses.
- Past Medical History (PMH): Hypertension, hyperlipidemia.
- Family History (FH): Mother has hypothyroidism. Father has
type 2 diabetes mellitus.
- Social History (SH): David is a non-smoker and consumes
alcohol occasionally. He works as an accountant and leads a
sedentary lifestyle.
- Review of Systems (ROS):
- Endocrine: Fatigue, weight gain, cold intolerance, dry skin,
hair loss, constipation.
- Cardiovascular: No chest pain, palpitations.
- Respiratory: No shortness of breath, cough, or wheezing.
- Gastrointestinal: Constipation, no nausea or vomiting.
- Neurological: No dizziness, syncope, or weakness.