Endocrine: History
  1. Presenting complaint
  2. Alimentary changes
  3. Integumental changes
  4. Nervous changes
  5. Rheumatoid changes
  6. Urogenital changes
  7. Past medical, surgical history
  8. Family, social, drug history
Presenting complaint
Alimentary changes
  • Weight loss (thyrotoxicosis, DM) vs. gain (Cushing's, hypothalamic dz).
  • Wasting.
  • Appetite: loss (Addison's) vs. increased (thyrotoxicosis).
  • Diarrhea (hyperthyroid, Addison's)
  • Constipation (hypothyroidism, hypercalcemia).
  • Polydipsia [excess drinking] (DM, renal dz, hypercalcemia).
Integumental changes
  • Pigmentation (hypopituitarism, Cushing's, acromegaly, Addison's). See Skin Colors Reference.
  • Dryness (hypothyroidism, hypoparathyroidism).
  • Sweating (hyperthyroidism, pheochromocytoma, arcomegaly).
  • Overgrowth (acromegaly).
Nervous changes
  • Nervousness, irritability (thyrotoxicosis).
  • Fatigue (hypothyroid, DM, Addison's, acromegaly).
  • Headaches (hypoglycemia).
  • Seizures (hypoglycemia).
  • Visual loss (acromegaly, DM).
Rheumatoid changes
  • Shorter stature.
  • Gigantism (Marfan's, Kleinfelter's, growth hormone).
  • Hand, skull bony growth (acromegaly).
Urogenital changes
  • Polyuria (DM, DI, polydipsia).
  • Menstrual changes (polycystic ovary, pituitary dz).
  • Impotence (hyperprolactinemia, hypogonadism, acromegaly).
Past medical, surgical history
  • Congenital problems.
  • Goiter, thyroid problems.
  • Thyroidectomy.
  • Thyroid surgery, radiation.
  • Parathyroid, pituitary surgery.
Family history
  • Condition in a family member (Marfan's, DM).
Social history
  • Smoking: ever smoked, how many per day, for how long, type [cigarette, pipe, chew] (DM).
  • Occupation (stress).
  • Who is with you there at home [often chronic dz].
Drug history
  • HRT.
  • Thyroid drugs.
  • Diabetic drugs.
  • Prostate dz drugs.
  • Steroids.

Endocrine Exam