<s>[INST] Hi, I went to the doctor today and had a BP of 160/100 so I was looking into possible causes. I read up on Cushings  and I fit many of the stereotypes. Overweight, acne, hump on back of neck, easy to bruise, bad sleep patterns, depression. Do you think it is possible I have Cushings? [/INST] Hi, Thanks for your question. After going through your question, I can understand your concern. For better opinion, I would like to know - - Your age and gender. - Family history of high blood pressure. - Family history of obesity, diabetes. Though most of your features fits into criteria of cushing's syndrome you need to know following things - - Essential familial hypertension is most common cause of high blood pressure. - Features like those in cushing's syndrome may present in other disorders like insulin resistance or any drug use also called as psudocushing's. You should consult your physician for detailed clinical examination and if required there may be need for consultation with endocrinologist. Following investigation may be helpful for diagnosis and management. - ECG and 2DEcho of heart. - Renal function test. - Ultrasonography and Renal artery doppler. - T3,T4, TSH. - 8am cortisol. - Other basic lab test like CBC, Liver function test, urine examination. Depending upon clinical evaluation and above test results need for evaluation for cushing's can decided. Hope this helps you, if so do vote. </s>