CS20 Solved
CS20 Solved
CS20 Solved
CASE STUDY
Hypertension is common and most often presents as an independent medical condition. Occasionally,
hypertension is a result of an underlying illness and requires different treatment. Because adrenal function is crit-
ical for (1) blood pressure, (2) potassium, and (3) glucose homeostasis, an adrenal etiology should be considered
in all patients with blood pressure problems accompanied by electrolyte abnormalities, unexplained change in
weight, failure to thrive, inappropriate virilization, and anxiety periods.
Eight different clinical scenarios are presented below. Each presentation is associated with a different diagnosis
and treatment. A discussion of adrenal causes, diagnoses, and treatments for each are found within the chapter.
Each numbered case study completes the following opening statement: A 22-year-old woman (previously
adopted, not currently taking medications, negative medical history) presents with . . .
https://quizlet.com/200089246/case-studies-for-adrenal-flash-cards/
CASE STUDY 20-1 CASE STUDY 20-4
. . . hypertension, with weakness and hypokalemia. . . . hypertension, with periods of panic attacks and
The patient also has a high urine potassium excre- hot flashes. She also presents with headache, hyper-
tion without diuretics. glycemia, hyperthyroidism, and gastrointestinal
complaints.
Question
hyperglycemia and the hot flashes
Question
1. What is the diagnosis?
1. What is the diagnosis?
. . . hypertension, with weakness and rapid onset of . . . hypertension, with virilization. This young
obesity. This patient also exhibits central fat pads, woman presents with irregular menses diagnosed
buffalo hump, plethora, thin skin, purple striae, easy with polycystic ovary syndrome. She has a border-
bruising, osteoporosis, hyperglycemia/insulin resist- line low cortisol and elevated 17-OH progesterone.
ance, and recurrent infections.
Question 11 beta hydroxylase diffienecy
Question
1. What is the diagnosis?
1. What is the diagnosis?
. . . hypertension, with weakness, irregular menses, . . . hypertension and hyperkalemia. She has normal
and hypokalemia. Her young age, borderline low renal function (low urine potassium) and metabolic
cortisol, and low androgens also are significant. acidosis.
. . . hypotension, failure to thrive, weight loss, and . . . new virilization and hirsutism. Laboratory re-
weakness. Her laboratory results reveal hyper- sults show increased IGF-I (insulin growth factor I),
kalemia, fasting hypoglycemia, and metabolic DHEA(S), and testosterone levels. She is a health
acidosis. food enthusiast who experiments with nutritional
addison disease 40/60 pressure addison crisis supplements.
Question EXO DHEA
Question
1. What is the diagnosis?
1. What is the diagnosis?