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Question
A 31-year-old female presented to her family physician with concerns over her month-long fatigue, lack of appetite, and a steady weight loss over the last few months. The client tells the nurse "I feel nauseated regularly, and I get dizzy spells that make me vomit". The nurse records her standing blood pressure as 97/63 mm Hg. Increased inner cheek pigmentation was also noted on oral examination. The client was sent for biochemical investigation, the results of which are shown below: Sodium 127mmol/L, Potassium 5.7mmol/L, Urea 9.0mmol/L, Glucose (Fasting) 2.5mmol/L, cortisol (09.00H) 130nmol/L, anti-adrenal antibodies POSITIVE. Determine the disease that has developed in this client by examining the pattern of laboratory results. Also suggest an appropriate management strategy that could be implemented.
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