Name: MODULE 1: ENDOCRINOLOGY ASSIGNMENT Instructions: Answer the following ques

Question

Name: MODULE 1: ENDOCRINOLOGY ASSIGNMENT Instructions: Answer the following questions. Follow the guidelines in the course syllabus for proper submission of your document. All references, including course materials, must be cited using APA was found in course reference should be cited using APA style. Failure to follow the citation directions wil result in a deduction of 10% of the possible assignment points. at the end of the document. If the answer a citation is required. If a direct quote is used, the Grading: A total of 42 points will be converted to 20 points for this assignment. Due Date: Thursday, June 14th at 11:55 PM (EST) CASE#1 A 50-year old Caucasian female patient presented for a follow-up from surgery on her middle ear. Because of on-going comp an MRI of the internal auditory canals was performed and incidentally suggested a pituitary mass. Upon evaluation by an endocrinologist, the patient noted a recent truncal weight gain and commented that she bruised easily. Past medical history was notable only for mild controlled hypertension. A laboratory evaluation revealed the following. ear. Because of on-going complaints of fluttering, and hearing loss in her left ear ACTH: 102 pg/mL (9-46) TSH: 3.35 mU/L (0.3-5.0) Prolactin: 9.9 ng/mL (3-30) Growth Hormone: 0.51 ng/mL (

Explanation / Answer

1) Etiology-

Exogenous causes

Endogenous causes

Exogenous causes may be due to excessive intake of drugs containing glucocorticoids.

Endogenous causes may be due to;

Pituitary tumour (70%)

Adrenal tumour (15%)

Unknown causes (15%)

2) Since ,the patient has pituitary mass,rapid weight gain,easy bruising and fatigue,along with increased levels certain pituitary hormones and cortisol.Also,cortisol levels are suppresed by drug therapy.

This gives indication towards cushing's disease.

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