Health College

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

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.

Innovations in health which do you think is the best health innovation? ​

Answers

Answer:

Pocket-size ultrasound devices that cost 50 times less than the machines in hospitals (and connect to your phone). Virtual reality that speeds healing in rehab. Artificial intelligence that's better than medical experts at spotting lung tumors

Explanation:

Someone help me with this question!

Answers

First person is correct bestie!!!

Cocaine use causes vasoconstriction. Is this likely to increase or decrease blood pressure, and why?

Answers

Answer:

Increase

Explanation:

Vasoconstriction causes the lumens of blood vessels to narrow. This increases the pressure of the blood flowing within the vessel.

increase on cocaine you will be hit with over wheling high pressure

Dos átomos neutros A y B, tienen igual número de neutrones. Si la suma de sus núme-
ros atómicos es 76 y la diferencia de sus números de masa es 4. ¿Cuántos electrones

tiene el átomo A?

Answers

In engli

Explanation:

in english?

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.

To learn more about Drugs effect, refer to the link:

https://brainly.com/question/26254731

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What is the main function of bone marrow?

producing blood cells

Keeping the spine straight

supporting the internal organs

strong minerals

Answers

Answer:

producing blood cells

Explanation:

i just know ;)

Answer:

bone marrow

Explanation:

bone marrow is located in the center of large bones

HELPPP P
Kate assists another biotechnology R&D professional in the laboratory. The person with whom she works provides analysis of evidence found at crime scenes. Kate helps by looking at samples under the microscope and recording data. What is Kate’s job in the laboratory?
A.
biochemist
B.
forensic scientist
C.
physiologist

Answers

Explanation:

B options is your answer bro

This would be B. Forensic scientists

Select the best answer for the question.
8. Which of the following is a reason for the rise in the use of technology to reference drug information?
A. The information is better written.
OB. The information is easier to find and share.
O C. Online information is better peer-reviewed.
D. The information is more accurate.

Answers

B. The information is easier to find and share

The correct option is (b). The information is easier to find and share.

There is a lot of information on the Internet today, where there are billions of webpages. This information is easier to discover thanks to search engines. Let's examine the fundamentals of utilizing a search engine as well as some methods for improving search results.Information can be quickly stored and shared very easily.

The advantages and disadvantages of technology -Globalization Cost effectivenessGreater AvailabilityBridging the cultural gapDestructive and immoral contentUnemploymentPrivacyLack of job security

Learn more about technology brainly.com/question/11447838

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You arrive a scene where a person has fallen and is laying on the ground. The person is not responsive. Based on the information in the videos and the article presented in this section, describe the steps you should take to assist the victim.
NEED A 3 PARAGRAPH ANSWER OR I WILL NOT GRADUATE

Answers

Answer:

I found this from a website. Come on, you can write paragraphs out of it. Ideas are tough but writing a para given the ideas is not difficult. If you still want 'em, comment.

•••

Do not hurry, and let them rest as often as they need to. If they get stuck at any time, make them comfortable and call the ambulance.

1. Do NOT try to get the person up straight away!

2. Calm the person and yourself. Get them to take deep slow breaths.

3. Check for injuries. If they are badly injured, such as with a broken bone, they need to stay where they are. Make them as comfortable as possible and call an ambulance. Keep them warm while you wait for the ambulance.

4. If they are not badly injured and feel they could get up, get two sturdy chairs and place one near the person’s head and one near their feet.

5. It is important that the fallen person does the work. The helper should only guide lightly, helping the person to roll onto their side.

6. Help the person to kneel. If they have sore knees, place a towel underneath as cushioning.

7. Place one chair in front of the kneeling person.

8. Ask the person to lean on the seat of the chair and bring one leg forward and put that foot on the floor.

9. Place the second chair behind the person. Ask them to push up with their arms and legs and then sit back in the chair behind them. Guide them up and back into the seat, remembering not to lift them – they should be doing the work. Keep your back upright.

Essentially, you will be writing about the following steps. You must take information from the videos and the articles that are provided for you, as they may have a specific example that they need you to follow and write about. However, this is a generalized way in assisting a victim.

The first thing when you arrive at the scene is to take note of the scene. Is there any spillage or anything that may be out of the ordinary or may be harmful? If there is, leave the area immediately and call for help. The second step, if the first step is safe, is to see if the person is still conscious. Are they responsive? If they are, are they able to focus, or can they not respond to simple questions? (Even though it specifically says that the person is not responsive, this step is still necessary).  The third step is to treat for shock. Lay the person down on the ground, elevate their legs to allow for restricted circulations, and don't allow the person to move unless necessary. the fourth step is to try to stem any bleedings by using either bandages, pressure bandages, or any other clean material that may stop the flow of blood. The fourth step is to record any information regarding the incident. How much did the person bleed? Do you know the cause of the wound? etc. Finally, ensure the person is in safe hands when help arrives.

Remember, you must use the information based on the videos and articles. As it is not provided, I cannot give the specific information that is needed to complete the assignment. Simply follow the format, and write the information that answers most, if not all of the questions. Good luck.

What is caused by viruses

Answers

A virus is a submicroscopic infectious agent that replicates only inside the living cells of an organism. Viruses infect all types of life forms, from animals and plants to microorganisms, including bacteria and archaea.

What are some possible long-term consequences of gang activity? Check all that apply. going to jail for driving while intoxicated becoming addicted to drugs or alcohol destroying relationships with family contracting a sexually transmitted infection dropping out of high school

Answers

Answer:

I would say A, B, C, D, and E.

Explanation:

I think they are all long-term but on edg 2021 it doesn't grade you for it.

Long-time gang members also had a significantly higher proportion of precarious employment, dropouts, early pregnancy, and teenage parents during follow-up. Members of the female gang were more likely to experience premature or difficult transitions, such as precarious employment, teenage pregnancies, and early motherhood.

What is the result of the gang?

Gang membership results include exposure to drugs and alcohol, age-appropriate sexual behavior, difficulty finding employment due to lack of education and work skills, family evacuation, imprisonment, and even death. It will be.

Members of gangs who have not been killed or seriously injured often create patterns of alcohol and drug abuse and extensive police records that limit future employment opportunities.

Learn more about gang activity here: https://brainly.com/question/17130953

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Chemotherapy is used to treat
cervical cancer.
endometriosis.
undescended testicles.
benign prostatic hypertrophy.

Answers

Chemo is for cancer not benign

Answer:

cervical cancer

Explanation:

Just got it right on edge:))) also good luck.

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