disorders mbbs students club肾上腺疾病 mbbs学生俱乐部课件

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1、QuestionScenario1MakeascenarioofanMCQ.Outlinethesignsandsymptomsthatyouwouldexpectinapatientwithhyposecretionofadrenocorticalhormones.Give4optionsfortheMCQquestion.Scenario2MakeascenarioofanMCQ.Outlinethesignsandsymptomsthatyouwouldexpectinapatientwithhypersecretionofadrenocort

2、icalhormones.Give4optionsfortheMCQquestion.Scenario1(MianSeherMunir)Anobese50-yearoldmanpresentswithhighbloodglucoselevels.Heshowsbuffalotorsoandmoonfaceandiscomplainingofpurplestriaeafterinjury.ThelaboratorybloodtestsshowhighbloodRBC’sandrelativepolycythemia,hypokalemiaandhyp

3、onatremia.Heismostprobablysufferingfrom:TumourofadrenalcortexTumourofadrenalmedullaPituitaryadenomaIncreasedoralsteroidintakeScenario2(AdilMaqbool)A40-yearoldwomanpresentstothephysicianwithsymptomsof:SwellinginthefaceHypertensionExcessivefacialhairgrowthAbdominalfatdepositionP

4、olydisiaThelabresultsshow:↑levelsofADH↓NainurineHighplasmalevelsofACTH&cortisol↑levelsofbloodglucoseupto200mg/dlThemostappropriatediagnosisis:CushingsyndromeDiabetesmellitusTumorofPituitarygland(corticotropes)Conn’ssyndromeScenario3&4Scenario3(M.Halim)Apatientwaspresentedtotheh

5、ospitalhavinghighbloodpressure.Hislabtestsshow:HypernatremiaHypokalemiaHighbloodpHand↓urinarypHWhichofthefollowingdisorderishemostprobablysufferingfrom:MetabolicalkalosisDiabetesinsipidusHypersecretionofAldosteroneHypersecretionofCortisolTumourofAdrenalMedullaScenario4(Mahnoor)

6、Awomancomesintotheclinicandcomplainstothedoctoraboutherlethargicness.Thedoctorobservesblotchesonherfacealongwithhypertrichosis.Shecomplainsaboutbeingsickmorethanusualandirregularmenstrualcycles.Herbloodreportshowed↑glucoselevelsandhypokalemiawasalsoobserved.Whatdoyouthinkthispa

7、tientissufferingfrom:DiabetesmellitusHyposecretionofACTHHypersecretionofACTHHypothyroidismScenario5&6Scenario5(WadiaImtiaz)Afemaleofabout45yearspresentstothehospitalwithpolyuria,dehrdration,sluggishness,musclewastingandskinpigmentationinblotches.Clinicalexaminationreveals:Hypot

8、ensionKlevelsof7mmol/L(Hyperkalemia)MildacidosisWhatis