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A member asked:
3yr ago syncopy; since fatigue/headache/nausea/easy bruise; 1yr ago high sugar/false+ preg; low t3; recent visionspot/dizzy/petichiae/joint. pituary?
3 doctors weighed in across 2 answers
Need work up: The following should be checked: 1) neurological examination, including for orthostatic hypotension. 2) labs, to include pt/ptt, cbc, comprehensive metabolic panel, tsh, ft3, ft4, ha1c, esr. 3) if no answers, then consider acth, 24 hour urine for free cortisol (measured micrograms/grams creatinine - normal 13-65). Also, consider lh and fsh, prolactin, gh, igf-1.
Answered 11/10/2014
5k views
Work up: Your becoming a bit complicated, considering all the symptoms and abnormal lab values. You should see a good internal medicine doctor for a proper evaluation.
Answered 7/16/2013
5k views
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