Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
QUESTIONS.
A. Discuss the probable causes of the alterations in T.H.'s laboratory results.
B. Explain the pathophysiology of Cushing syndrome.
![CASE STUDY
Cushing Syndrome
Patient Profile
T.H. is a 26-year-old elementary school teacher. He seeks the advice of his health care provider because of changes in
his appearance over the past year.
Subjective Data
• Reports weight gain (particularly through his midsection), easy bruising, and edema of his feet, lower legs, and
hands
• Has been having increasing weakness and insomnia
Objective Data
• Physical examination: BP 150/110; 2+ edema of lower extremities; purplish striae on abdomen; thin extremities
with thin, friable skin; severe acne of the face and neck
Blood analysis: Glucose 167 mg/dL (9.3 mmol/L); white blood cell (WBC) count 13,600/ulL; lymphocytes 12%;
red blood cell (RBC) count 6.6 x 10/uL; K* 3.2 mEq/L (3.2 mmol/L)](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F77b7ba62-40a0-43f3-8d00-9de6fa5e7963%2Fddc07a8a-ef7e-4a22-b201-ab3b5a16e940%2Fvoldvvw_processed.jpeg&w=3840&q=75)
Transcribed Image Text:CASE STUDY
Cushing Syndrome
Patient Profile
T.H. is a 26-year-old elementary school teacher. He seeks the advice of his health care provider because of changes in
his appearance over the past year.
Subjective Data
• Reports weight gain (particularly through his midsection), easy bruising, and edema of his feet, lower legs, and
hands
• Has been having increasing weakness and insomnia
Objective Data
• Physical examination: BP 150/110; 2+ edema of lower extremities; purplish striae on abdomen; thin extremities
with thin, friable skin; severe acne of the face and neck
Blood analysis: Glucose 167 mg/dL (9.3 mmol/L); white blood cell (WBC) count 13,600/ulL; lymphocytes 12%;
red blood cell (RBC) count 6.6 x 10/uL; K* 3.2 mEq/L (3.2 mmol/L)
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