Do you have headache/associated loss of vision/associated nausea
and vomiting/ difficulty in seeing side objects?
*Any loss of chest hair/ sexual hair-axillary or pubic/ any erectile dysfunction
*Any history of postural dizziness/recurrent low BP / recurrent admission for low sodium/ increased tiredness?
*Any history is goiter/constipation/ facial edema/leg swelling/slow mentation/ memory loss/dry skin/ yellowish tinch of skin?
*Any milk like secretion from breast/ infertility/ no periods?
Any thigh or arm muscle weakness/ hump in the back/ moon face/ any reddish pink marks on stomach towards the side - not referring to stretch marks?
*Do you feel like your hand or foot size is increasing/ your nose is becoming bigger/ changing dress size?
Any history of bone pain/ abdominal pain/gastritis/constipation/depression/renal stones
Have you checked your eyes?
do a overnight dexamethasone
take tab dexona
1mg at 11pm
take 8am fasting cortisol
sample next day