A 40-year-old woman was brought to the ER because she suddenly fainted 20 minutes ago. From the results of the physical examination, hyperpigmented skin, growing mustache, and thin body were found. TD 80/60 mmhg, HR 100x/minute RR 20x/minute Tax 37C. From the results of laboratory tests obtained GDS 40 mg/dl, hyponatremia, and hypocortisol. There was no history of trauma, or previous drug use. What is the patients current likely diagnosis?

NEPHROLOGY

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Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]

A 40-year-old woman was brought to the ER because she suddenly fainted 20 minutes ago. From the results of the physical examination, hyperpigmented skin, growing mustache, and thin body were found. TD 80/60 mmhg, HR 100x/minute RR 20x/minute Tax 37C. From the results of laboratory tests obtained GDS 40 mg/dl, hyponatremia, and hypocortisol. There was no history of trauma, or previous drug use. What is the patient’s current likely diagnosis?

A	Cushing syndrome
B	Cushing disease
C	Secondary adrenal insufficiency
D	Addison disease
E	Crisis gateway

Explanation:

Detailed explanation-1: -Causes of hirsutism Hirsutism is linked to hormones called androgens. It can happen if the level of these hormones increases or if your body becomes more sensitive to them. The most common cause is polycystic ovary syndrome (PCOS).

Detailed explanation-2: -Hirsutism is excess hair most often noticeable around the mouth and chin. Hirsutism (HUR-soot-iz-um) is a condition in women that results in excessive growth of dark or coarse hair in a male-like pattern-face, chest and back.

Detailed explanation-3: -The most common reason some men can’t grow a beard is genetic factors. Some men who have trouble growing beards have turned to beard implants. Although beard implants are now available, they’re expensive and are a surgical procedure. So careful evaluation of the risks and benefits should be considered.

Detailed explanation-4: -The difference between normal facial hair and hirsutism is the color, density, and texture of the hair. Hair is coarser, thicker and darker. This can be due to virilization, or excess production of androgens. Sudden changes in facial hair patterns might mean your body is sending a sign something has changed.

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CLINICAL MEDICINE

MEDICINE

NEPHROLOGY