Hypothalamus

• Clinical Findings:

• History: Wt loss, Stress/Exercise; HA; Visual Changes: Polyuria

• Exam: BMI < 18; Bradycardia; VF defect; Parotid enlargement; Caries; Lanugo; Excoriations fingers

• Labs: Inappropriately Nl or Low FSH, FSH>LH, Low Estrogen, Increased Prolactin, Low ADH

• Further Evaluation: Head MRI