Cause |
Investigations |
Management |
Hypothyroidism |
- Thyroid function tests (T3, T4, TSH)
- Thyroid antibody tests (for autoimmune thyroiditis)
|
- Thyroid hormone replacement (e.g., levothyroxine)
- Regular monitoring of thyroid levels
|
Cushing's Syndrome |
- 24-hour urinary cortisol test
- Dexamethasone suppression test
- ACTH level measurement
- Imaging: MRI or CT for adrenal or pituitary tumors
|
- Adrenalectomy for adrenal tumors
- Medications to inhibit cortisol production (e.g., ketoconazole)
- Radiation therapy for pituitary tumors
|
Polycystic Ovary Syndrome (PCOS) |
- Pelvic ultrasound to identify ovarian cysts
- Hormonal tests (LH, FSH, testosterone)
- Glucose tolerance test and lipid profile
|
- Weight management through diet and exercise
- Metformin for insulin resistance
- Oral contraceptives to regulate menstrual cycles
|
Heart Failure |
- Echocardiogram
- Chest X-ray
- BNP (B-type natriuretic peptide) blood test
- Electrocardiogram (ECG)
|
- Diuretics to manage fluid retention
- ACE inhibitors or ARBs
- Beta-blockers to reduce heart strain
|
Medications (e.g., corticosteroids, antipsychotics) |
- Review medication history
- Monitor weight and BMI regularly
- Evaluate for other causes of weight gain
|
- Adjust medication dosage or switch to alternative agents
- Introduce lifestyle modifications (diet, exercise)
- Consult with the prescribing physician
|
Congestive Heart Failure (CHF) |
- Echocardiogram to assess heart function
- BNP test
- Chest X-ray for fluid accumulation
- Blood tests: Electrolytes, Renal function tests
|
- Diuretics to reduce fluid retention
- ACE inhibitors or ARBs
- Lifestyle changes: Low-sodium diet, fluid restriction
|
Psychiatric Disorders (e.g., Depression, Bipolar Disorder) |
- Psychiatric evaluation
- Screening questionnaires (e.g., PHQ-9 for depression)
- Medication review (e.g., antidepressants)
|
- Cognitive Behavioral Therapy (CBT)
- Medication adjustment or switch
- Exercise and lifestyle modifications
|
Genetic or Congenital Syndromes (e.g., Prader-Willi Syndrome) |
- Genetic testing (chromosomal analysis)
- Hormonal assessments (growth hormone, sex hormones)
- Assessment of developmental milestones
|
- Growth hormone therapy
- Caloric restriction and dietary monitoring
- Behavioral therapy and support
|
Overeating and Lifestyle Factors |
- Dietary assessment (food diaries)
- Physical activity assessment
- Body Mass Index (BMI) measurement
|
- Dietary modification (calorie control, balanced diet)
- Increase physical activity
- Behavioral counseling
|