Open AccessDrugs as diagnostic tools
Author(s) -
Nicole Arseneau,
Carlos Muzlera
Publication year - 2016
Publication title -
uwomj/medical journal
Language(s) - English
Resource type - Journals
eISSN - 2560-8274
pISSN - 0042-0336
DOI - 10.5206/uwomj.v85i1.4239
Subject(s) - medicine , family history , abdomen , physical examination , depression (economics) , blood pressure , body mass index , waist , diabetes mellitus , multivitamin , medical history , acne , pediatrics , surgery , endocrinology , dermatology , vitamin , economics , macroeconomics
Mr Simon, age 36, presents to his family physician with concerns about his weight. He has gained 20 kg in the past 4 months, and has developed purple striae on his abdomen. His body mass index (BMI) is currently 34, and on physical examination, he is found to have a rounded face, a large dorsal fat pad, and a waist circumference of 112 cm. His blood pressure is elevated at 145/95 mmHg, while all other vitals are normal. He also mentions worsening acne on his face, shoulders, and upper back, as well as mild depression for the past 3 months. His past medical history is significant only for an appendectomy at age 10. He has no family history of diabetes, obesity, or cardiac disease. The only medication he has been on for the past 3 years is a multivitamin supplement. He does not smoke, drinks approximately 5 alcoholic drinks per week, and does not take any illicit drugs.