Reference no: EM13929801
Endocrinology(Addison's Disease)
A 45-year-old male from the Midwest presented with the following symptoms during February: weakness, fatigue, orthostatic hypotension, weight loss, dehydration, and decreased cold tolerance. His blood chemistry values follow:
Serum sodium 128 mEq/L
Serum potassium 6.3 mEq/L
Fasting blood glucose 65 mg/dL
Serum creatinine 0.5 mg/dL
Hematology tests resulted in the following values: Hematocrit 50%; Leukocytes 5000/cu mm
patient also noticed increased pigmentation (tanning) of both exposed and nonexposed portions of the body and back. A plasma cortisol determination indicated a low cortisol level. Following administration of ACTH, plasma cortisol did not rise significantly after sixty and ninety minutes. Endogenous circulating levels of ACTH were later determined to be significantly elevated.
1. What endocrine organ is the site of the malfunction? . Is this a primary or secondary disturbance?
2. What is the name of this disorder?
3. Discuss the electrolyte (Na+ and K+) disturbances resulting from this disorder. Which hormone is involved and are the levels of this hormone abnormally high or abnormally low?
4. Discuss the metabolic disturbances resulting from this disorder. Which hormone is responsible?
5. What is the cause of tanning in this patient?
6. What type of replacement therapy would be required for this patient?
7. Diagram the feedback loop for this endocrine disorder.
8. What is the long-term outlook for? Might one expect the abnormal pigmentation to resolve? Explain.
*I just need help on the last question(#8). Thanks.
|
In the spot exchange market
: Six-month T-bills have a nominal rate of 5%, while default-free Japanese bonds that mature in 6 months have a nominal rate of 3%. In the spot exchange market, 1 yen equals $0.01. If interest rate parity holds, what is the 6-month forward exchange rat..
|
|
Calculate the sustainable growth
: Calculate the sustainable growth based on the following information: D= 30% and ROE = 25%
|
|
Create a form using a master detail relationship
: Select the form and switch between the views (Forms, Layout, and Design) to change the properties or the form's appearance as desired.
|
|
Attempted to collect an account and, when unsuccessful
: In the cash flow column, indicate whether the item is an operating activity (OA), investing activity (IA), or financing activity(FA).
|
|
A plasma cortisol determination indicated a low cortisol
: Patient also noticed increased pigmentation (tanning) of both exposed and nonexposed portions of the body and back. A plasma cortisol determination indicated a low cortisol level. Following administration of ACTH, plasma cortisol did not rise signifi..
|
|
Results of exchange rate changes
: Early in September 1983, it took 275 Japanese yen to equal $1. Nearly 28 years later, in August 2011, that exchange rate had fallen to 105 yen to $1. What would the dollar price of the automobile be in August 2011, again assuming that the car's price..
|
|
Define ethical behavior based upon the context
: Moral Relativism refers to being able to define ethical behavior based upon the context. Which do you agree with as a basis for ethical action and why?
|
|
Operating section of the cash flow statement
: The income statement and the operating section of the cash flow statement present a company’s results in very different formats. In your opinion, which statement is more important to shareholders? To company management?
|
|
What debt and equity mix is the best mix and why
: Independent of item 4, your company needs to raise capital to build an addition. The addition is 5% of your current total assets. What debt/equity mix is the best mix and why? how long will it take for the project to be accepted?
|