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Your next call is to the home of Ms. Blanc. As before, you have three witnesses

ID: 3473794 • Letter: Y

Question

Your next call is to the home of Ms. Blanc. As before, you have three witnesses to interview. Witness statements: Ms. Magenta: "Between you and me, she has really let herself go. She has fat deposits in all of these strange places, like around her face and trunk, and a weird hump on her gack. If you ask me, some exercise may do her some good! Col. Lemon: "Not that I want to talk about such things, but she has seemed bloated, a bit swollen, lately. She told me that even her blood pressure has gone up!" Mrs. Feather: "The poor dear. She has been sick so much lately with all kinds of infections. Personally, I think her immune system needs boosting. But my herbal teas don't seem to help." What are your initial thoughts based upon the witnesses' statements? Does one hormone come to mind that could produce these effects? Your next stop is to speak with Ms. Blanc. During the interview you notice a bottle of pills on her nightstand. You log the pills as evidence and send them off to the lab for analysis. The lab report shows the pills to be the medication prednisone, which you know to be a glucocorticoid similar to the hormone cortisol taken to reduce inflammation. Is this finding significant? Why or why not? Based on the witness statements and the laboratory analysis, what is your final diagnosis? Explain.

Explanation / Answer

so in this case to simplify Bloated meaning is swollen with fluid, inflated ,expanded etc .According to witness she has swollen face ,neck and trunk and some parts of hump.she has elevated blood pressure also. she is taking steroids(corticosteroids) to reduce inflammation ,steroids work by decreasing inflammation and reducing the activity of immune system

Based on witness statements and Laboratory date of pills which found is Prednisone, and this finding is significant as it is a steriod and it causes wight gain.It is a corticosteriod used for treating inflammation of the skin ,joints and lungs.My final diagnosis is asthma or allergies or arthritis(Joint Pains).It can also used to treat blood discorders and diseases of adrenal galnds.

The side effects of prednisone( corticosteriod) includes weight gain, bloating..these side effects the patient already suffering from.