• Listen

    Does the patient report: Change in energy? Headache? Dizziness? Nausea/vomiting? Altered mental status? Visual disturbances? Fever?

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  • Recognize

    Low levels of hormones produced by pituitary gland (ACTH, TSH, FSH, LH, GH, prolactin) Brain MRI with pituitary cuts: enhancement and swelling of the pituitary gland DDX adrenal insufficiency: low cortisol and high ACTH DDX primary hypothyroidism: low free T4 and high TSH

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  • Look

    Does the patient appear fatigued? Does the patient look listless? Does the patient look ill? Does the patient look uncomfortable?

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