Case Study 1
Description
Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references.
Critical Thinking Questions
1. Of all the tests this young woman had, which single test would be easiest, most diagnostic,
and would have explained her entire symptom complex?
2. What are some of the other adrenal function tests that could have been performed to assist in
the diagnosis of this womans adrenal failure?
3. What is the difference between primary and secondary Addison disease, and how can the two
be separated?
4. Why was this womans sodium low and her potassium elevated?
Having Trouble Meeting Your Deadline?
Get your assignment on Case Study 1 completed on time. avoid delay and – ORDER NOW
Unformatted Attachment Preview
Case Studies
This 32-year-old white professional female was noted to have increasing melanosis affecting her
skin and gums. She noted that she had become weaker over the past several weeks. She
complained of nausea, occasional vomiting, and anorexia. She experienced a 10-pound weight
loss in the last 8 weeks. She complained of a relative recent onset of moderate high-back pain.
She has noted constipation but has no other gastrointestinal symptoms. She noted early satiety.
Over the last 2 years she has developed Reynauds phenomena.
Her physical exam reveals a thin woman with a dark tan (she recently returned from a vacation
in the Caribbean). She weighed 90 lbs and was 52 tall. She had very little axillary hair but had
all normal primary and secondary sexual characteristics. There was evidence of a melanotic gum
line around her teeth. The creases of her hands were hypermelanotic. The remaining physical
examination was normal.
Studies
Results
CBC,
Normal
Chemical profile
Normal except:
Na = 129 (normal: 136-145 mEq/L)
K = 5.1 (normal: 3.5-5 mEq/L)
Albumin 3.0 (normal: 3.5-5 g/dL)
EGD
Mild gastritis
Gastric Emptying
Delayed gastric emptying
CT Scan Abdomen
Adrenal glands not visible
CT Scan of the Brain
No pituitary tumor
Cortisol 8 AM
2 mcg/dL (normal: 5-23 mcg/dL)
ACTH 8 AM
3,200 pg/mL (normal:
Purchase answer to see full
attachment
Tags:
case study
help
addisons disease
References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
Explanation & Answer
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.