Renning Time: 05 A patient had shown rapid onset of hypertension and hyperglycaemia. In addition, they were s initial signs of hyperpigmentation i.e. abdominal striae and they were also complaining of a pem cough and difficulty in sleeping. The patient was subsequently referred for dexamethasone sup tests (DEX). The results of these tests and additional further blood tests are shown below. Variable Urea (mM) Creatinine (mm) Cortisol (nM) (after a low dose DEX) Cortisol (nM) (after a high dose DEX) ACTH (PM) (after a high dose DEX) K (MM) Result 6.2 79 750 747 152 2.35 Reference Range 2.5-7.0 60-120 138-690 138-690 <26 3.5-5.0 Based on the patient presentation and the test results in the table, state what is the most probable diagnosis, and also the most common specific cause underlying this diagnosis. ( word,

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
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Coursework 2
Renning Time: 05:5
A patient had shown rapid onset of hypertension and hyperglycaemia. In addition, they were sho
initial signs of hyperpigmentation i.e. abdominal striae and they were also complaining of a persis
cough and difficulty in sleeping. The patient was subsequently referred for dexamethasone suppr
tests (DEX).
The results of these tests and additional further blood tests are shown below.
Variable
Urea (mm)
Creatinine (mm)
Cortisol (nM)
(after a low dose
DEX)
Cortisol (nM)
(after a high dose
DEX)
ACTH (PM)
(after a high dose
DEX)
K (MM)
Result
6.2
79
750
5X
=ΞΩ ΣEquation
body p
XOGA
747
152
2.35
Based on the patient presentation and the test results in the table, state what is the most
probable diagnosis, and also the most common specific cause underlying this diagnosis. (20
word,
HE
Reference Range
2.5-7.0
60 - 120
138-690
A- A-T
Para...
138-690
<26
3.5-5.0
-
BIUSX, x²
Font
www
Words: 0/204
Transcribed Image Text:Coursework 2 Renning Time: 05:5 A patient had shown rapid onset of hypertension and hyperglycaemia. In addition, they were sho initial signs of hyperpigmentation i.e. abdominal striae and they were also complaining of a persis cough and difficulty in sleeping. The patient was subsequently referred for dexamethasone suppr tests (DEX). The results of these tests and additional further blood tests are shown below. Variable Urea (mm) Creatinine (mm) Cortisol (nM) (after a low dose DEX) Cortisol (nM) (after a high dose DEX) ACTH (PM) (after a high dose DEX) K (MM) Result 6.2 79 750 5X =ΞΩ ΣEquation body p XOGA 747 152 2.35 Based on the patient presentation and the test results in the table, state what is the most probable diagnosis, and also the most common specific cause underlying this diagnosis. (20 word, HE Reference Range 2.5-7.0 60 - 120 138-690 A- A-T Para... 138-690 <26 3.5-5.0 - BIUSX, x² Font www Words: 0/204
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