BIO 260 Week 11 Case Studies - Endocrine Disorders 2023/24

BIO 260 Week 11 Case Studies - Endocrine Disorders 2023/24 Case study: Endocrine Scenario 1: A 30-year-old woman, Jocelyn, presented to the clinic with development of acne, weight gain, and back pain for the past 3 months. She has also noticed some muscle weakness with difficulty lifting her 2-year-old daughter. As well, she has become aware of purple streaks on her abdomen. Upon further questioning, she stated that she also noticed á urination and á thirst. VS: BP: 170/110 HR: 80 Temp: 37ºC O2Sat: 99% LABS: CBC – Normal Electrolytes – Normal Serum glucose- 325 mg/dL 1) From what possible illness is she suffering? (SLIDES 25-30) Cushing’s syndrome 2) Discuss 3 possible ways to develop this syndrome. Which is the most common? (SLIDE 25 - Excess corticosteroids in the body -drugs such as prednisone -a tumor of the adrenal gland 3) Review the signs and symptoms of this illness. (SLIDES 26-30)  Personality change  Moon face  Fat deposit on the back of the shoulders  Hyperglycemia  CNS irritability  Thin extremities 4) When administering corticosteroids for weeks to months, why, when the patient is ready to stop the corticosteroids, is it critical to slowly taper patients off the medication? (SLIDE 32) . . . . . . .