se 2: The Bloated Ms. Blanc Your next call is to the home of Ms interview Witnes
ID: 3476114 • Letter: S
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se 2: The Bloated Ms. Blanc Your next call is to the home of Ms interview Witness statements: . Bl anc. As before, you have three witnesses to "Between you and me, she has really let herself go. She na nge places, like around her face and trunk, a Ms. Magenta: * deposits in all of these stra hump on her gack. If you ask me, some exercise may do her and a weird . 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 pre Mrs. Feather: "The poor infections. Personally, I think her immune system needs boosting. But m pressure has gone up!" rdear. She has been sick so much lately with all kinds of y herbal teas don't seem to help." ? Does one hormone What are your initial thoughts based upon the witnesses' statements come to mind that could produce these effects? Your next stop is to speak with Ms. on her nightstand. You Blanc. During the interview you notice a bottle of pills I he 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? ExplainExplanation / Answer
1. Deposition of fat around face and trunk, hump on her back suggest that she has CUSHING'S SYNDROME. This results due to excess of a hormone called CORTISAL ( GLUCOCORTICOID).
2. It must be noted that the main cause of CUSHING'S SYNDROME is IATROGENIC which means that the CORTISAL IN THE BODY IS COMING FROM SOME EXTERNAL SOURCE such as pills or injectable.
3. In this case, the forensic lab report has proved that the pills were GLUCOCORTICOIDS . Hence in this case CUSHING'S SYNDROME is due to IATROGENIC INTAKE and the effects can be reversed if the drug is stopped.
4. So as explained, the final diagnosis is IATROGENIC CUSHING'S SYNDROME.
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