Make the Dx: Struggling to stand

By MDLinx staff
Published September 27, 2023
Sleepy young woman

Key Takeaways

A 34-year-old female social worker presents to an ambulatory care center for evaluation of a 3-month history of fatigue, weight gain, and difficulty standing from a seated position. She states she is otherwise healthy, but she does not have a primary care physician and has not had a physical examination since her last pregnancy 12 years ago.

She has had oligomenorrhea since adolescence, and attempted pregnancy for 4 years before conceiving. She is on no medications. 

On physical examination, blood pressure is 160/110 mmHg. Facial plethora was confirmed based on her driver’s license photo from 3 years ago.

Prominent abdominal obesity is present without cutaneous striae. There is no hirsutism. Preliminary laboratory testing shows mild hypokalemia and hyperglycemia. The pregnancy test was negative.

So, what's the diagnosis? Click here to find out

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