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    Onset, Course, Duration, Progression, Improving and Worsening Factors

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    medstudy123
    This document provides information about Addison disease, including: 1. Key symptoms of Addison disease include loss of weight, dizzy spells, and hyperpigmentation. 2. Differential diagnoses for hyperpigmentation include racial or familial causes, Addison disease, Nilson's syndrome, Cushing disease, hemochromatosis, porphyria cutanea tarda, chronic liver or kidney disease, and drugs like amiodarone. 3. The history should inquire about the onset, course, and progression of symptoms, as well as potential causes like tuberculosis, autoimmune diseases, surgery, or transfusions that could point to the underlying condition.

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    Onset, Course, Duration, Progression, Improving and Worsening Factors

    Uploaded by

    medstudy123
    24 views3 pages
    This document provides information about Addison disease, including: 1. Key symptoms of Addison disease include loss of weight, dizzy spells, and hyperpigmentation. 2. Differential diagnoses for hyperpigmentation include racial or familial causes, Addison disease, Nilson's syndrome, Cushing disease, hemochromatosis, porphyria cutanea tarda, chronic liver or kidney disease, and drugs like amiodarone. 3. The history should inquire about the onset, course, and progression of symptoms, as well as potential causes like tuberculosis, autoimmune diseases, surgery, or transfusions that could point to the underlying condition.

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    This document provides information about Addison disease, including: 1. Key symptoms of Addison disease include loss of weight, dizzy spells, and hyperpigmentation. 2. Differential diagnoses for hyperpigmentation include racial or familial causes, Addison disease, Nilson's syndrome, Cushing disease, hemochromatosis, porphyria cutanea tarda, chronic liver or kidney disease, and drugs like amiodarone. 3. The history should inquire about the onset, course, and progression of symptoms, as well as potential causes like tuberculosis, autoimmune diseases, surgery, or transfusions that could point to the underlying condition.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views3 pages

    Onset, Course, Duration, Progression, Improving and Worsening Factors

    Uploaded by

    medstudy123
    This document provides information about Addison disease, including: 1. Key symptoms of Addison disease include loss of weight, dizzy spells, and hyperpigmentation. 2. Differential diagnoses for hyperpigmentation include racial or familial causes, Addison disease, Nilson's syndrome, Cushing disease, hemochromatosis, porphyria cutanea tarda, chronic liver or kidney disease, and drugs like amiodarone. 3. The history should inquire about the onset, course, and progression of symptoms, as well as potential causes like tuberculosis, autoimmune diseases, surgery, or transfusions that could point to the underlying condition.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 3

    Addison Disease

    Station 5
    By dr : sadek al-rokh

    Senario:
    Loss of weight
    Dizzy spells
    Hyperpigmentation
    Hyperpigmentation
    DD :
    1.
    Racial Familial
    2.
    Addison
    3.
    Nilson `s syndrome
    4.
    Cushing disease
    5.
    Heamochromatosis (primary ,
    secondary )
    6.
    Porphyria catunia tarda
    7.
    CLD CKD
    8.
    Drug induced ie Amiodarone
    History
    Onset , course, duration , progression , improving
    and worsening factors .

    Any hx of tummy pain , yellowish discolouration of


    the eye balls , surgical oprations , bl transfusion
    ( CLD )
    Any hx of loss of libido , DM , SOB , leg swelling ,
    joint pain ( haemochrmatosis )
    Hx of recurrent bl transfusion ( 2ndry
    haemochromatosis
    Hx of kidney proplem , oligourea , eye puffiness
    ( CKD )
    HX of weight gain , stretch marks , poximal
    myopathy, oligomenorea ( cushing )
    Hx of dizzy spells when getting up from supine or
    setting position ( posural hypotension ) ( Addison )
    Once u catched the diagnosis ask about other
    symptoms of Addison ,
    hyperpigmentation of the lining of oral cavity,
    hx of loss of weight ( how much kg , for how long
    ), what about apetite ?
    Hx of TB , OR HX of contact w TB patient .
    Other autuimmune disease ie DM , skin
    depigmentation (vetiligo) , areas of hair lost
    ( Alopecia) small joint pain of the hands (RA) ,
    butterfly rash ans arthropathy (SLE) .

    Social history:
    Ptn job ?-- how much the symptoms do impaction
    on his job & usual daily activity ? if do say :I am
    sorry I will refer u to a social worker to solve this
    problem for you ( very important
    with whom ptn is living with?
    Finintial support ?

    Smoking & alcohol history.

    Medical history: DM , HTN, Cardiac problem ,


    Surgical operations

    Family history:

    similar problem or medical

    disease.

    Drug history:

    what is your drug list ?

    Examination
    Hand : hyperpigmenred creases , pulse .
    Oral cavity : by torch for
    hyperpigmentaion .
    Look to the back for any scars indicating
    hx of adrenelectomy ( Nilson ).
    Ask the examiner I want to check this
    patient BP in supine and erect postion .

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