Case Study: Topic
Case Study Posting Requirements
Case Study 1
Mechanisms of Endocrine Control
Leda is a 38-year-old woman who began to experience weight gain, mood swings, and weakness. When her periods became irregular, she went to her physician. Leda’s physician heard the symptoms Leda was concerned about and then ordered a 24-hour free cortisol urine test and an overnight dexamethasone suppression test and measured her serum ACTH levels. The results indicated that Leda had Cushing disease, a condition caused by the hypersecretion of ACTH by the anterior pituitary and resulting in elevated cortisol levels. To confirm the diagnosis, Leda’s physician ordered a cranial MRI to identify the presence of a pituitary tumor.
Case Study 2
Disorders of Endocrine Control of Growth and Metabolism
Bertha is a 71-year-old woman who takes daily medication for Hashimoto thyroiditis. Last winter, she developed pneumonia. While she did her best to run errands for her husband, she got tired easily and needed to rest frequently. One day, after shoveling the snow outside, her husband came inside to find Bertha lying on the sofa covered in blankets. Her face appeared puffy and her eyelids hung. When he spoke to her, Bertha’s voice was hoarse and her words did not make sense to him. Her respirations were also shallow and slow. Suspecting low thyroid hormone levels were causing the signs, her husband called for an ambulance.
Case Study 3
Diabetes Mellitus and the Metabolic Syndrome
Juan is a 44-year-old who works in a warehouse. He is 5′8″, weighs 185 pounds, and has a waist circumference of 41″. At his last visit to the health clinic, Juan’s blood pressure was 140/60 mm Hg. Shortly after having a series of blood tests, his physician called him in to talk about the results. Juan had a fasting plasma glucose level of 107 mg/dL, an HDL level of 37 mg/dL, and a serum triglyceride level of 210 mg/dL.
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