Results for “adrenal insufficiency”

A well 24-year-old woman has routine blood tests before starting a combined oral contraceptive. She takes no medication and her blood pressure is 112/70 mmHg. B…

Acute Care · Clinical rotations · middle twist

A 46-year-old woman is admitted with two days of vomiting and lightheadedness. Her regular tablets are alendronate, esomeprazole and prednisolone, all of which…

Acute Care · Pre-internship · middle twist

A 19-day-old boy has vomited after most feeds for the past week. He is 9 per cent below his birth weight, lethargic, with dry mucous membranes and cool peripher…

Physiology · Foundations · middle twist

An 82-year-old woman becomes confused and unsteady over three days while being treated for depression and hypertension. She is euvolaemic, her serum sodium is 1…

Geriatrics and Palliative Care · Clinical rotations · common

A 58-year-old man with primary adrenal insufficiency is scheduled for multiple dental extractions under general anaesthesia. He takes hydrocortisone 20 mg in th…

Endocrine and Metabolic · Clinical rotations · common

A 46-year-old woman taking prednisolone 7.5 mg each morning for polymyalgia rheumatica requires extraction of one mobile premolar. She is otherwise well, has ta…

Endocrine and Metabolic · Clinical rotations · middle twist

A 49-year-old man develops abrupt retro-orbital pain and vomiting while exercising. In the next hour he becomes drowsy and develops left ptosis with limitation…

AMC · Clinical rotations · middle twist

A 41-year-old woman has progressive weight gain, proximal muscle weakness and easy bruising. Her 24-hour urinary free cortisol is 780 nmol/day (reference less t…

Biomedical Science · Mechanisms of disease · middle twist

A 35-year-old man reports drinking approximately 6 L of water daily because of anxiety about dehydration. He is alert, euvolaemic and not taking diuretics or an…

Renal, Urology and Electrolytes · Clinical rotations · common

A 42-year-old woman has progressive fatigue, reduced appetite and dizziness when standing. Her serum sodium is 127 mmol/L (135–145), potassium is 5.8 mmol/L (3.…

Endocrine and Metabolic · Clinical rotations · common