A 27-year-old woman presents with depression, insomnia, increased facial fullness, and a recent increase in facial hair. She also had an episode of depression and acute psychosis following uncomplicated delivery of a normal baby boy 9 months previously. Her menses have been irregular since their resumption after the birth (she is not breastfeeding). What is your provisional diagnosis and explain why? What tests would you order to confirm your provisional diagnosis? What test results would you expect if the disorder was primary? What test results would you expect if the disorder was secondary? What test results would you expect if the disorder was tertiary? What follow-up tests would you order?
Added by Sherry W.
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This is because she presents with symptoms such as depression, insomnia, increased facial fullness (which could be due to moon facies, a common symptom of Cushing's syndrome), and hirsutism (excessive hair growth, another symptom of Cushing's syndrome). The Show more…
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