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Checklist: Miscellaneous Symptoms

Print these symptoms to take to your doctor to help with your diagnosis. Check off each day that you have observed this symptom. Rank symptoms on a scale of 1 (present, but not bad), 2 (fair), 3 (bad) and 4 (unbearable!). Also helpful to take are any past medical records; pictures of yourself when you were thinner, had more hair, no straie, etc.

Note: Not every patient has every symptom. Do not attempt to diagnose yourself.

This list is a partial checklist of frequently-noticed symptoms. Carefully filling out this checklist and taking it to your medical personnel can be an important first step in getting appropriate testing and the proper medical diagnosis. Please show this to your qualified medical personnel.

Please read the Important Disclaimer.

Because this list is so long, it made for a slow loading page. It is now split into several pages for easier loading.

Body and Skin

Heart and blood

Thyroid

Bones and Muscles

Psychological

Men

Eyes

Sleep

Women

Hair

Miscellaneous

Children

Download the Cushing's Journal in Excel format

Your Name: __________________________________

Doctor's Name____________________________

Today's Date: ____________________________

Page ___ of ____

Possible Symptoms

First Noticed

Date Date Date Date Date Date Date

Eyes

Puffy eyes C                
Dry eyes and mouth F                
Dry eyes S, T                
Sensitivity in dim light, usually in an oval shaped gray or brown area, blurring or distortion of the visual image. CSR                
Vision field disturbances CR, PR                
Unclear or double visionT                
Blurred vision MS, S, T                
Inflammation of the nerves in the eye (Optic neuritisMS                
Vision defects (peripheral) A                
Bulging eyes T                
Eye discomfort or painT                
Jerking, rapid involuntary eye movement (Nystagmus) T                

Other Symptoms You Have...

                 
                 
                 
                 
                 
                 
                 
                 
                 
Comments:

 

 

 

 

Possibility of

A

Acromegaly

AD

Addison's Disease (Adrenal insufficiency)

AN

Acanthosis nigricans

CFS

Chronic Fatigue Syndrome

C 

Cushing’s Disease or Syndrome

CSR

Central Serous Retinopathy

CR 

Craniopharyngioma

EC

Excess Cortisone, naturally occurring or from meds

F

Fibromyalgia

GH

Growth Hormone

GH-

Growth Hormone Deficiency

GH+

Growth Hormone Excess

IBS

Irritable Bowel Syndrome (Celiac Disease/Gluten Intolerance)

L

Lupus

MS

Multiple Sclerosis

P

PCOS (Stein Leventhal Syndrome)

PM

Perimenopause

PR

Prolactinoma

RA

Rheumatoid Arthritis

Thyroid Disorders

NOTE:  This Checklist© is compiled from several sources, both online and offline.

If using this Checklist© in another publication, please include a link back to this page, if on the web; or the URL (http://www.cushings-help.com) in publications; the name Mary Kelly O'Connor, editor and founder of Cushings-Help.com

Please also send an email telling me where the web page or publication may be found.

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