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

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.

¿Que produce el calcio una vez liberado?

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.

10. Which of the following statements about pathogens is FALSE? Parasites are organisms that live in or on another organism and consume its nourishment. All bacteria is harmful to your health. Malaria, a single-celled organism often found in tropical areas with poor sanitation, is an example of a Protozoan. Bacteria are single-celled organisms found in air, soil, or water that invades the body and multiplies at a rapid rate.​

Which of the following measures exercise intensity?

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

The sardines are not the jellies’ resource population or consumer population, but they still caused the jelly population in North Benguela to increase. How did this happen?

Differentiate between prefixes and suffixes.

to help you sleep you should try to start unwinding minutes before yo go to bed

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

Please help me ASAP???!!!!

What amendment created classifications of prescription and nonprescription drugs?

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?

jumping rope can also improve:
Agility and coordination

Rhythm, timing, and balance

Speed and power

All of the above

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

Can our immune system kill all types of bacteria? Give your reasons.

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

Being a nurse can involve a great deal of physical, mental, and emotional stamina.
Nurses often work long hours, perform physical labor, have to make time-sensitive,
critical decisions, and deal with illness, crisis, or even death,
Provide an example of a time when you have had to exhibit a great amount of
stamina.
• Do you think you have the stamina to be a nurse? Why or why not?

Plants, as well as humans, need support and protection in order to carry out life functions. Which answer choice best pairs the organelle found in plants cells with the organ system responsible for this function?
A. Cell wall and muscular system
B. Cell wall and skeletal system
C. Chloroplast and skeletal system
D. Cell wall and endocrine system

Fetal Alcohol Syndrome is completely preventable. True or false

how many minuets should you wait before exercisesing after you eat

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

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