\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{swadmasud}
\pdfinfo{
  /Title (endocrinology.pdf)
  /Creator (Cheatography)
  /Author (swadmasud)
  /Subject (Endocrinology Cheat Sheet)
}

% Lengths and widths
\addtolength{\textwidth}{6cm}
\addtolength{\textheight}{-1cm}
\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
\setlength{\tabcolsep}{0.2cm} % Space between columns
\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
\definecolor{HeadBackground}{HTML}{333333}
\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{A7ABDE}
\definecolor{LightBackground}{HTML}{F4F4FA}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Endocrinology Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{swadmasud} via \textcolor{DarkBackground}{\uline{cheatography.com/212185/cs/46091/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}swadmasud \\
  \uline{cheatography.com/swadmasud} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 11th April, 2025.\\
   Updated 11th April, 2025.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Hormone Axes}}  \tn
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Endocrinology is understood based on feedback loops \newline % Row Count 2 (+ 2)
Example: Hypothalamus → Pituitary → Target Gland → Hormone → Feedback% Row Count 4 (+ 2)
} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Systems Review History}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Thyroid}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Weight loss/gain} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Heat/cold intolerance} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Palpitations, tremor} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Neck swelling} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Hair/skin/mood changes} \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Systems Review Physical}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{General Inspection}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Body habitus} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Skin/hair/voice} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Scars, pigmentation, striae} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 4 (+ 0)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 4 (+ 0)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{1.44 cm} x{6.56 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{The Five Systems and Their Common Disorders}}  \tn
% Row 0
\SetRowColor{LightBackground}
\seqsplit{Thyroid} & Hypo-/Hyperthyroidism, Nodules, Goiter, Thyroiditis \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\seqsplit{Adrenal} & Addison's, Cushing's, Conn's (Hyperaldosteronism), Pheochromocytoma \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Pituitary} & Prolactinoma, Acromegaly, Hypopituitarism, Diabetes Insipidus \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
\seqsplit{Pancreas} & Diabetes Mellitus (Type 1 \& 2), Hypoglycemia \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Gonadal} & PCOS, Hypogonadism, Menstrual disorders \tn 
% Row Count 11 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.44 cm} x{4.56 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Key Symptoms}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{📉 Hypo}} & {\bf{📈 Hyper}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Weight Gain & Weight Loss \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Fatigue & Sweating/Palpitations \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
Cold Intolerance & Anxiety, Tremors \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Constipation & Diarrhea \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
Depression & Heat Intolerance \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
Amenorrhea & Irregular Periods \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.56 cm} x{5.44 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Symptom-Based Differentials}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Symptom}} & {\bf{Possible Differential}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Weight loss & Hyperthyroid, diabetes, Addison's, cancer \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Weight gain & Hypothyroid, Cushing's, insulin therapy \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
Amenorrhea & PCOS, prolactinoma, hypothalamic causes \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Polyuria/polydipsia} & Diabetes mellitus, diabetes insipidus, hypercalcemia \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
Fatigue & Hypothyroid, Addison's, diabetes, anemia \tn 
% Row Count 11 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Considerations}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Hormone excess/deficiency} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Primary/secondary gland problem} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Mass effects (compression, vision)} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Systemic effects (metabolic, menstrual, growth)} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Timeline (acute, chronic, fluctuating} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.72 cm} x{5.28 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Labs}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Lab}} & {\bf{Indication}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
TSH + Free T4 & Thyroid function (hypo/hyper) \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Cortisol ± ACTH & Adrenal function (Addison's/Cushing's) \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
OGTT + HbA1c & Glucose tolerance \& diabetes control \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Prolactin & Pituitary tumors, galactorrhea, amenorrhea \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
PTH + Calcium & \seqsplit{Hyper-/Hypoparathyroidism} \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
LH/FSH + Sex hormones & Gonadal axis function \tn 
% Row Count 12 (+ 2)
% Row 7
\SetRowColor{white}
\seqsplit{Insulin/C-peptide} & Differentiating type 1/2 diabetes, insulinomas \tn 
% Row Count 14 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{1.84 cm} x{6.16 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Common Syndromes}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Syndrome}} & {\bf{Key Features}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\seqsplit{Cushing's} & Central obesity, moon face, purple striae, HTN, glucose intolerance \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Addison's} & Hyperpigmentation, fatigue, hypotension, salt craving, weight loss \tn 
% Row Count 8 (+ 3)
% Row 3
\SetRowColor{white}
Graves' & Hyperthyroid + eye signs (exophthalmos, lid lag), diffuse goiter \tn 
% Row Count 11 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Hypothyroid} & Cold intolerance, dry skin, weight gain, fatigue, slow reflexes \tn 
% Row Count 14 (+ 3)
% Row 5
\SetRowColor{white}
\seqsplit{Acromegaly} & Enlarged hands/feet, coarse features, diabetes, spacing of teeth \tn 
% Row Count 17 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{Prolactinoma} & Galactorrhea, amenorrhea, reduced libido, visual changes \tn 
% Row Count 19 (+ 2)
% Row 7
\SetRowColor{white}
PCOS & Irregular menses, hirsutism, acne, insulin resistance, obesity \tn 
% Row Count 22 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Clinical Skills}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Glucose (pin prick)} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Visual field via confrontation} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Thyroid exam (palpate, swallow, auscultate)} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Visual signs (Cushingoid features, tremor, myxedema)} \tn 
% Row Count 5 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Diabetic foot exam (vibration, pinprick, monofilament)} \tn 
% Row Count 7 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}