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

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Dr. Charles Rocamboli answered

Specializes in Family Medicine

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

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