{"ops":[{"insert":"A 42 year old woman presents with oligomenorrhea for 2 years, and 30 kg of weight gain during the same period, even though her diet remained unchanged.\n\nHer medical history is significant for type 2 diabetes, hypertension and dyslipidemia for 3 years; while well controlled initially, these have worsened over the last year. She is currently on Metformin, Gliclazide, Telmisartan, and Rosuvastatin.\n\nHer family history is significant for polycystic ovarian disease in a sister. She only drinks socially and does not smoke.\n\nA full blood count is within normal parameters, as are serum electrolytes, and renal and liver profiles. A thyroid profile and serum FSH, LH, testosterone, and growth hormone levels are also normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-078_en.png"}},{"insert":"\n"}]}
2
Investigate
Low-Dose DST
{"ops":[{"insert":"Post dexamethasone serum cortisol level: 170 nmol\/L (\u003C 50)\nThe test is repeated; the new value is 155 nmol\/L\n"}]}
24-Hour Urinary Free Cortisol
{"ops":[{"insert":"24-hour urinary free cortisol: 210 nmol\/24h (55-250) \nA repeat test is performed; the new value is 180 nmol\/24h\n"}]}