Case 2: The Bloated Mrs. Blanc Your next call is to the home of Mrs. Blanc. As b

Question

Case 2: The Bloated Mrs. Blanc Your next call is to the home of Mrs. Blanc. As betore, you have three witesses to interview. Witmess statements Ms.Magenta: "Between you and ne, she's really let herself go, She has fat deposits in all of these strange places like around her face and trunk, and a weird hamp on her back. If you ask me, some exercise may do her some good! I Col. LemION: "Not that I want to talk about such things, but she's seemed bloated, a bit swollen, lately, She even told me that her Hood pressure has gone up" Ms. Feather: "The poor dear. She's been sick so much lately with all kinds of infections. Personally, I think her immune system needs boosting. But my herbal teas don't seem to help." What are your initial thoughts, based upon the witnesses' statements? Does one hormone comse to mind thar could produce these effects? Your next step is to speak with Mrs. Blanc. During the interview you notice a botle of pills on her nightstand. You log the pills as evidence and send them off to the lab for analysis. The lab report shows the pills to be the medication prednisone, which you know to be a glucocorticoid similar to the hormone cortisol. Is this finding signficant? Why or why not? 16 the witness statements and the laboratory analysis, what is your final diagnosis? Explain your reasoning

Explanation / Answer

Initial Thoughts-- cushing syndrome. can be the problem with Mrs. Blanc.

because weight gain is primary symptoms of cushing syndrome. alongwith moonface, buffalo hump, low healing of cuts and infections, acne etc.

ONE HORMONE---is the excess CORTISOL

Answer 2

Prednisone is also a glucocorticoid which she takes as pills icreases the levels of cortisol in body leading to cushing syndrome. Blood Pressure is also increased in cushing syndrome. so yes this finding was useful as she might having extra doses of prednisone.

FINAL DIAGNOSIS IS

CUSHING SYNDROME happens when a person is exposed to excess levels of cortisol hormone from a long time and prednisone with mrs. Blanc proves so. this diseases is also called Hypercortisolism mostly occurs due to oral corticosteroid medication.

common signs and symptoms

mentioned above.

symptoms in women---thich=ker or more visible facial hair i.e hirsutism , irregular menstural periods.

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