Case history
Case history #1
A 40-year-old man has a 12-month history of progressive headaches, weight loss, poor appetite, lethargy, cold intolerance, and erectile dysfunction. He has difficulty seeing the periphery when driving his car. Physical examination is remarkable for bradycardia, gynecomastia, scant body hair, delayed relaxation of his reflexes, and bitemporal haemianopia.
Case history #2
A 32-year-old woman presents to her doctor with a 10-month history of depression, hot flushes, weight gain, reduced libido, lethargy, cold intolerance, and amenorrhoea. She delivered a healthy baby boy 10 months ago; however, the delivery was complicated by a significant post-partum haemorrhage requiring multiple blood transfusions. She was unable to breastfeed her baby and has been amenorrhoeic since that time. Physical examination is remarkable for a flat affect, bradycardia, weight loss, and delayed relaxation of her reflexes.
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