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A Case Report of Cushing's Syndrome

Added on - 17 Apr 2021

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Running head: CASE STUDY ON CUSHING SYNDROMECASE STUDY ON CUSHING SYNDROMEName of the student:Name of the university:Author note:
1CASE STUDY ON CUSHING SYNDROMEQuestion 1:Researchers are of the opinion that there are two causes of Cushing syndrome in patients.The first one is the exogenous source where intake of oral corticosteroid medications inextremely high doses for a large period may result in occurrence of the diseases (Lowitz &Klein, 2015). Oral corticosteroids like Prednisone are one of the medications that are provided toindividuals when they suffer from rheumatoid arthritis as well as lupus or asthma. In suchconditions, body requires more cortisol than it can actually possess to handle the disorders(Martinez et al., 2016). In such situations, such medications produce side effects resulting in theoccurrence of Cushing syndrome. In the case study also, Maureen had been suffering fromrheumatoid arthritis from the age 15 and are prescribed to take prednisone for a long period. Thismight have caused the disorder in the patient. Besides, in other cases, the body itself may resultin higher secretion of the hormone of cortisol like a noncancerous tumor in the pituitary glandthat results in secretion of high level of adrenocorticotrophic or ACTH hormone (Barber, 2017).This stimulates the adrenal gland to produce more and more cortisol from the adrenal gland.Moreover, in other cases tumors develop can develop on the adrenal gland those results in thehigher production of the cortisol in the body. This tumor is called the adrenal adenoma andoccurs on the adrenal cortex.Researchers are of the opinion that the females who are between the age group of 25 to40 are most prone to development of the disorder (Maletkovic, 2018). Moreover, obesity, type 2diabetes as well as poorly controlled glucose levels as well as hypertensions are the main riskfactors that make individuals highly vulnerable to the development of the disease (Lowitz &Klein, 2015). Moreover, taking of corticosteroid medication is yet another risk factor thatassociates with the disease. Primary adrenal gland disorders, nodular enlargements of the adrenal
2CASE STUDY ON CUSHING SYNDROMEglands, pituitary gland tumors and others are highly responsible for the occurrence of thedisorders.Studies suggest that Cushing syndrome is not treated properly or remains untreated, itmay result in bone loss, muscle loss or weakness, high blood pressure, fracture in bones,infections, enlargement of the pituitary tumors as well as kidney stones (Yedinac, 2016). Allthese will lead to poor quality life of the individuals making them suffer physically as well asmentally. Such suffering of the patients result their caregivers to face emotional turmoil and theyget depressed to see their suffering and pain. It results in financial flow on the healthcareexpenses that may affect the lives of the family members along with the patients (Maletkovic,2018).Question 2:Weight gainsas well as fatty tissue deposits mainly in the midsection, upper back, in theface like a moon face and between the shoulders like a buffalo hump are seen in individuals whoare affected by the disorders. Researchers are of the opinion that cortisol helps the body tohandle stress. When stress level is high in blood, cortisol level rises up. In such situation, cortisolhelps in the stimulation of the fat as well as carbohydrate metabolism in the stressful situations.This in turn leads to increased blood sugar level that the body requires for fast energy. Therefore,this result in stimulation of more insulin releases which increases appetite and results in morecalories intake takes place in terms of food intake (Yedinac, 2016). Even after over of the stresssituation, cortisols linger in the body and try to bring the body in balance. The hormone does thisby increasing appetite for properly replacing the fact and carbohydrate that had been alreadyusedfor the flight and fight response. Consuming more food results in fat accumulation in the
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