Internal Medicine: Cushing's Disease

Today's Case A 40-year-old female presents for follow up of hypertension that started 2 years ago. She has been seen frequently in your clinic for titration of her antihypertensive medication and treatment of recently diagnosed hyperlipidemia and type 2 diabetes mellitus. During her visit she reveals that she is frustrated by weight gain that has occurred predominately over the past year. She reports regular menstrual cycles until the past year, when she notes increased time in between cycles and occasional spotting instead of regular periods. She is concerned that she may have early menopause because she is having changes in appetite, difficulty sleeping, and mood swings. She feels like these symptoms are getting worse, and she is frustrated that despite her increase in exercise and change in diet she is more fatigued and has experienced no weight loss. Today's Reader Kada Fehlman is an Internal Medicine Resident at Huntington Health Cedars-Sinai. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj ⁠⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠⁠ ⁠⁠⁠⁠Dr. Raj on Twitter⁠⁠⁠⁠ ⁠⁠⁠⁠Dr. Raj on Instagram⁠⁠⁠⁠ Want more board review content? ⁠⁠⁠⁠USMLE Step 1 Ad-Free Bundle⁠⁠⁠⁠ ⁠⁠⁠⁠Crush Step 1⁠⁠⁠⁠ ⁠⁠⁠⁠Step 2 Secrets⁠⁠⁠⁠ ⁠⁠⁠⁠Beyond the Pearls⁠⁠⁠⁠ ⁠⁠⁠⁠The Dr. Raj Podcast⁠⁠⁠⁠ ⁠⁠⁠⁠Beyond the Pearls Premium⁠⁠⁠⁠ ⁠⁠⁠⁠USMLE Step 3 Review⁠⁠⁠⁠ ⁠⁠⁠⁠MedPrepTGo Step 1 Questions⁠⁠⁠⁠ ⁠⁠⁠⁠MedPrepTGo Step 2 Questions⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices