QUESTIONS. A. Discuss the probable causes of the alterations in T.H.'s laboratory results. B. Explain the pathophysiology of Cushing syndrome.

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
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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)
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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