endocrine matrix

diabetes and thyroid

presentations non specific - tiredness

present in other systems - diarrhoea (hyperthyroidism)

can be long time until first symptom presents (6/12 graves)

may be picked up no routine tests

might be noticed by other people who haven't seen the patient for a while

present as crisis

Qs

• lethargy
• weight change
• apetite change
• palpitations
• bowel habit change (hyper diarrhoea, hypo constipation)
• polyuria (diabetes melitus and insipidus)
• headaches
• muscle weakness