iloveGong

PCL 6: NO MORE DIETS

Patient’s Details
Name : SITI
Gender : Female, Malay
Age : 43
Occupation : ??

CC : WEIGHT GAIN associated with:-
• Red (plethora/malar rash/alcoholic/sun burn/flushing) face - vasodilatation
• Round face
• Bruise
• Pimples
• Moustache (hirsutism) - due to androgen? Androgen comes from testosterone?
SYSTEMIC FEATURES – possibly due to hormone (steroids?)
PH : Hypertension (on medication?)
Social : Watching on diet

HORMONES
 Chemical messengers
 Travel in the blood
 Affect multiple organs
 Examples: insulin, sex hormones (testosterone), growth hormones, oxytoxin, progesterone, thyroxine, ADH, ACTH, cortisol, prolactin, TSH, FSH, LH, etc.

LEARNING ISSUE
1. Hormonal control – pituitary axis & non-pituitary axis glandsorgans
a. Negative-positive feedback (3)
2. Epidemiology
3. Cushing’s Syndrome (1) and Cushing’s Disease (1)
4. Differential Diagnosis (3) – PCOS, ….
5. Pathophysiology of hormonal control (2)
6. Investigation
7. Treatment and Management
8. Complications & Psychosocial

1. Endocrine system – endocrine control, negative-positive feedback mechanism
a. Pituitary axis
b. Non-pituitary axis (Nicole, Kieron, Deepak)
2. Pathophysiology of endocrine system- how does the endocrine system go wrong? (Viran, Shamendri)
3. Differential Diagnosis (Lukman, Sam)
a. PCOS
b. Etc.
4. Cushing Syndrome + Disease (4)
a. Definition + Epidemiology (Fui Chen)
b. Risk Factors & Causes
c. Signs & Symptoms (Syurkriah)
d. Investigations/Diagnosis
e. Treatment & Management (David)
f. Complications & Psychosocial (Rose)


PLEASE SEND TO DR WONG BY WEDNESDAY (12PM) cheepiau@gmail.com