Sara Haines is a 38-year-old who runs Grand Central Restaurant at Toowoomba shopping center. She presented to St Vincent's Private Hospital, Toowoomba complaining of drastic weight gain over six months, significant facial hair growth, menstrual abnormalities, and both excessive thirst and appetite. Recently, Sara also feels dull and depressed, does not have much energy, and has stopped performing all her favorite activities including tennis at Action Indoor Sports Stadium.

Sara is a successful and busy business person in Toowoomba, never smoked and only consumes alcohol in moderation at social events. She has several allergies (House dust mites, cockroaches, and dog's dander) and is not taking any medications other than a daily multivitamin tablet and betamethasone (as needed) for her asthma (used for many years). On clinical examination, the clinician, Dr John Smith noticed protuberant with striae and minimal bruising in her abdomen, and no abdominal tenderness, and both upper and lower extremities show areas of hyperpigmentation. Laboratory results confirmed that her cortisol levels were high indicating Cushing syndrome.

Required:
a. Explain the causative factors and pathophysiology of Cushing syndrome and how she developed this condition.
b. Describe the primary signs and symptoms of Cushing syndrome.
c. What aspects of her clinical history place Sara at increased risk of hypertension and, briefly explain the difference between Graves' disease and Cushing syndrome.
d. What treatment and follow up options are there for her condition?
e. Identify 10 nursing diagnosis and work out one care plan

Answers

Answer 1

Answer and Explanation:

A. Cushing's syndrome occurs with the dysregulation of cortisol production in the body. Thus, when the body has very high levels of cortisol in the blood, the hormonal balance is impaired, which can cause this syndrome. In the case presented in the question above, the elevated levels of cortisol were caused by the use of betamethasone. We can reach this conclusion because betamethasone is a corticosteroid and the prolonged use of this type of medication can promote uncontrolled cortisol in the body.

B. The main signs and symptoms are: rapid weight gain in the abdomen and facial swelling, abnormal appearance of hair on the face, increased blood pressure, appearance of red streaks on the belly, muscle weakness, healing problems, irregular menstruation, oily skin and acne breakouts, increased blood sugar, decreased libido, fertility problems.

C. Excessive appetite and lack of exercise and physical activity can put Sara at risk for hypertension, as this can decrease the diameter of the veins and arteries, in addition to causing the accumulation of fat in the veins and arteries, which causes an increase in blood pressure. We can see that she does not have Graves' disease, due to the lack of symptoms associated with this disease, which are not seen in Crushing's Syndrome as nervousness, irritability in the eyes, diarrhea, weight loss even with increased appetite and swelling in the region. thyroid.

D. Sara's treatment must be established by an endocrinologist, as this is a hormonal problem. In this case, it is likely that the doctor will reduce the dose of the medication she uses against asthma or even change the medication, if it is possible to treat Sara's asthma without corticosteroids.

E. The diagnosis can be made with blood test, hormonal analysis, magnetic resonance (since this syndrome can be caused by brain tumors), analysis of saliva, analysis of feces, analysis of urine, analysis of cortisol levels and test of stimulation of dexamethasone. A care plan includes regulation of food and fluid intake, hormonal regulation and regular physical activity.


Related Questions

Brent’s doctor recommended that he avoid hot baths while he and his wife are trying to have a child. Why did the doctor most likely make this recommendation?
Exposing the testicles to high temperatures could lead to problems
with maintaining erections.
Exposing the testicles to high temperatures could lead to problems
with producing sperm.
Exposing the testicles to high temperatures could lead to problems
with ejaculating.
Exposing the testicles to high temperatures could lead to problems
with releasing hormones.

Answers

Answer:

Exposing the testes to high temperatures could lead to problems producing sperm.

Explanation:

Took the test.

In baseball what happens if a fly ball is caught before it touches the ground?
A. OUT B. SAFE C. DO OVER

Answers

Answer:

B. Safe

Explanation:

You are save because you caught the ball before it hit the ground but if it it the ground and you did not catch it then either strike or if you arlready have to then you are out.

Your out if you hit a fly ball and it is caught.

One of the major issues with living wills is that many living wills failed to capture the complexity of medical situations, health, and advancing medical knowledge and technology.


True


False

Answers

Answer:

The answer is True.

Explanation:

Answer is trueeeeeeeee

The correct response to a Loaded Question is to reject the hidden premise of the question?

-True

-False

Answers

thanks for the answer and

To reply to a loaded question, you should first recognize that the question being asked is loaded, and then either reject the problematic , false.

What is a loaded question in market research?

A loaded question is a question written by a survey designer aimed to push the respondent to a specific answer.

It is a variety of formal training which enables us to understand the new developments in one's field in an efficient way.

Thus, the answer is false.

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4. What changes might occur within families and how can families adjust to these changes?

Answers

As mobility increases, family members are increasingly separated. With more flexible work it becomes more possible for men and women to combine their work and family roles.

Please help me anyone ASAP?!!!

Answers

Answer: 220 subtracted age

Explanation:

Answer: 220-age

subtract your age from 220. For example, for a 14 year old person, the estimated maximum age-related heart rate would be calculated as 220-14=206

Many who are impaired feel that they are still able to function normally because their senses are ___ by the substance
A. heightened
B. Dulled
C. not affected

Answers

I believe your answer is B, dulled senses.

Have a nice day or night!

Brainliest is appreciated to help me get to virtuoso rank !!!! :3

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Many who are impaired feel that they are still able to function normally because their senses are dulled by the substance. Thus, the correct option is B.

What is Impaired?

Impaired may be defined as a state in which a person is being in an imperfect or weakened condition.

After consumption of any drugs or other chemical substances, the people feel a condition of impairedness but still behave like normally. This is due to the lessening of their senses by a particular substance.

Therefore, the correct option is B, i.e. Dulled.

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In which situation might the American Red Cross be involved?
O when people suspect terrorism
when there is a natural disaster
O when the cause of a plane crash needs to be determined
O when people want information on cancer prevention

Answers

Answer:

When there is a natural disaster.

Explanation:

The American Red Cross's focus is relief and disaster aid. They take blood regularly for this reasoning, when people suspect terrorism they would call 911 for a current danger and call the FBI or something along those lines for suspected danger at a later time. when there's a plane crash that needs a cause determined then the National Transportation Safety Board (NTSB) would be the ones to determine the cause of the crash. and when people want information on cancer prevention they would either contact a doctor for more information on tests to see if they have cancer. OR you would go to the American Cancer Society or even the World Health Organization (WHO).

am i naive to think that he could be the love of my life?

Answers

Answer:

Mars Argo-Using You

No you are not naive. Go get emmmmm

Where can you find the periosteum?
on the outermost portion of your bones

between the layers of spongy bone

In the hollows of your bones

in the innermost portion of your bones

Answers

Answer:

The outermost portion

Explanation:

Periosteum is a membrane that covers the outer surface of all bones

What changes as your sinuses' develop?
ability to balance
voice
height
eye sight

Answers

I would guess B.) Voice

HELPPPP
Marty is interested in working with plants. He would like to pursue a career where he can study the life processes of plants. Which biotechnology R&D profession should he consider?
A.
bioengineer
B.
physiologist
C.
process technician
D.
forensic technician

Answers

Answer:

bioengineer is the correct answer

hope it is helpful to you

Define earth and planets.​

Answers

Answer:

Explanation:

Earth is the third planet from the Sun and the only astronomical object known to harbor life. About 29.2% of Earth's surface is land consisting of continents and islands

A planet is a celestial body that (a) is in orbit around the Sun, (b) has sufficient mass for its self-gravity to overcome rigid body forces so that it assumes a hydrostatic equilibrium (nearly round) shape, and (c) has cleared the neighbourhood around its orbit

Answer:

Earth is the third planet from the Sun and the only astronomical object known to harbor life. A planet is a celestial body that (a) is in orbit around the Sun, (b) has sufficient mass for its self-gravity to overcome rigid body forces so that it assumes a hydrostatic equilibrium (nearly round) shape, and (c) has cleared the neighbourhood around its orbit.

Recruitment and selection are part of which of the following managerial function?​

Answers

Answer:

The first operative function of the human resource of personnel department is the employment of proper kind and number of persons necessary to achieve the objectives of the organisation. This involves recruitment, selection, placement, etc.

Explanation:

If you have crooked teeth, would it cause any health issues?

Answers

it will cause many health issues like gum disease and deficiency of vitamin B can give you many dental issues

Answer:crooked teeth can also cause excess wear and tear on the teeth, gums, and jaw muscles, resulting in cracked teeth, jaw strain, temporomandibular joint disorder, and chronic headaches. Speech difficulties. If your teeth are misaligned, they can affect the way you articulate sound, causing problems with speech.

Explanation:

Select the correct answer.
How do narcotics work in the body?
OA.
Heighten the user's sensitivity to light
OB.
Decrease the user's ability to sense or respond to pain
C.
Slow the user's reaction time
D.
Disrupt the user's respiratory system

Answers

Answer:

Opined drugs bind to opined receptors in the brain, spinal cord, and other areas of the body. They tell your brain you're not in pain. They are used to treat moderate to severe pain that may not respond well to other pain medications.

Explanation:

Can-Do Enterprises suffered a shock when George Smith, its President and CEO, was killed while skiing in Colorado. However, because of the _______, the organization was able to continue operations smoothly

Answers

Vice-president and board of directors

Can-Do Enterprises suffered a shock when George Smith, its President and CEO, was killed while skiing in Colorado. However, because of the succession plan, the organization was able to continue operations smoothly.

What is a succession plan?

A succession plan is a documented process that outlines how an organization will continue to operate in the event of a leader's unexpected departure or death. It can include identifying and training potential successors, defining roles and responsibilities, and ensuring continuity in the organization's operations.

With a well-designed succession plan in place, Can-Do Enterprises could have a smoother transition of leadership and ensure that the organization continues to function without interruption.

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When should a primary survey of the victim be used?

Answers

Answer:

A primary survey is indicated in the evaluation of all trauma patients. [1][2][3][4]

Explanation:

If the patient is too combative for the primary trauma survey to be completed, often due to panic or intoxication, the patient should be sedated and intubated so that an effective primary survey may be performed.

Beer is less intoxicating than other types of alcohol.
A. True
B. False

Answers

Answer:

las respuesta es la letra: b

How do they diagnose a narcissist

Do they make them fill out questionnaire and stuff
Do they ever change?

Are most abusers narcissist

Answers

Answer:

Diagnosis of narcissistic personality disorder typically is based on: Signs and symptoms. A physical exam to make sure you don't have a physical problem causing your symptoms. A thorough psychological evaluation that may include filling out questionnaires.

Explanation:

Yes Nicki Minaj is the queen of rap

explain the importance of health education in 4 points​

Answers

Explanation:

The importance of health education impacts many areas of wellness within a community, including:

Chronic disease awareness and prevention

Maternal and infant health

Tobacco use and substance abuse

Injury and violence prevention

Mental and behavioral health

Nutrition, exercise and obesity prevention

Answer:

Chronic disease awarnes and prevetion

Maternal and infant health

Tobacco use and substance abuse

Injury and violence prevetion

Mental and behavioral health

Nutrition, exercise and obesity prevetion

Select the correct answer. Allie knows she should eat a carbohydrate before she exercises. Which snack should she eat?
A. String cheese
B. Nuts
c. Yogurt
D. Toast with jam ​

Answers

Answer:

C

Explanation:

Yogurt contains some key nutrients for maintaining bone health, including calcium, protein, potassium, phosphorus and, sometimes, vitamin D. All of these vitamins and minerals are especially helpful for preventing osteoporosis, a condition characterized by weakening of the bones.

Yogurts can be high in protein, calcium, vitamins, and live culture, or probiotics, which can enhance the gut microbiota. These can offer protection for bones and teeth and help prevent digestive problems. Low-fat yogurt can be a useful source of protein on a weight-loss diet. Probiotics may boost the immune system.

An excellent source of calcium, protein and probiotics, regular consumption of yogurt is also associated with better immune system function, weight management and reduced inflammation. 1. Yogurt is a good source of calcium.

I would say c. Yogurt has a pretty good amount of carbs in it.

A healthy posture means the spine is in a(an) “___________” position and not bent in any particular direction.

A.
abnormal

B.
natural

C.
straight

D.
neutral

Answers

Answer:

C) Straight

Explanation:

Which of the following measures exercise intensity?

Rate of perceived exertion
Daily caloric intake
Basal metabolic rate
Heinneman's Size Principle

Answers

Answer:

Rate of perceived exertion

The ovaries are part of the endocrine system.
T
F

Answers

Answer: True

Explanation:The ovaries are part of the endocrine system. The endocrine system plays an important role in the body by influencing every organ and cell. ... Hormones are chemicals secreted and regulated by the endocrine system.

Answer:

True

Explanation:

The ovaries are a part of the endocrine system.

SOMEONE PLEASE HELP ME ANSWER THESE QUESTIONS PLEASE I NEED HELP TRY TO DO AS MUCH AS YOU CAN

Answers

Answer:

its an over population problem I think, im not sure thoug

Explanation:

food that is stored uncovered can be a for safety hazard because

Answers

Answer:

food that is stored uncovered can be a food safety hazard because it is exposed and vulnerable to any particle/debris. The food can become contaminated

Explanation:

Food that is stored uncovered can be a safety hazard because it can be contaminated by various organisms.

It is very important to cover food properly while storing it because there are lots of living things e.g housefly, mosquitoes, ants harbor microorganisms that contaminate the foods and deposit different bacteria in the food.

When storing food in the refrigerator or cupboards it is important to put them in an airtight container to avoid contamination by microorganisms.

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Baseball
An error is ___.
A. Getting out on the base paths. B. Making a mistake on defense C. Striking out

Answers

B. Making a mistake on defense

7. List and describe two surgical procedures performed to treat heart disease:
(Two answers)

Answers

Answer:

Coronary angioplasty, Thrombolytic therapy

Explanation:

Coronary angioplasty is a procedure that helps to improve blood flow to your heart.

Thrombolytic therapy is a treatment in which you are given medicines through a drip to dissolve a blood clot that is narrowing or blocking a coronary artery.

Balance is the ability to maintain the body in proper equilibrium (an upright
position).

Answers

Answer and Explanation:

Sports Definition: balance is the ability to stay upright or stay in control of body movement, and coordination is the ability to move two or more body parts under control, smoothly and efficiently. There are two types of balance: static and dynamic.
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