The immediate management and investigation of an acute endocrine presentation in general practice is discussed in this section. It is inspired by, but not based on, a real patient situation.
Laufala is a 25-year-old primigravid woman of Samoan ethnicity who presents to your medical centre for her first antenatal visit, estimated at eight weeks’ gestation based on her last menstrual period. Her past medical history includes polycystic ovary syndrome, managed with diet and exercise, and her family history includes type 2 diabetes mellitus (mother and older sister). Laufala’s body mass index (BMI) is estimated at 28 kg/m2. She reports lethargy, polydipsia and polyuria since confirming her pregnancy.