(NR 283 Week 6 Discussions, NR 283 Week 6 Discussions)
Mrs. A has been taking high doses of glucocorticoids for much of the past 2 years to control severe rheumatoid arthritis. She has now developed hypertension and type 2 diabetes and would like to stop taking the cortisone because of the … changes in her appearance.
- How does Cushing’s syndrome affect the individual?
- Discuss how hypertension and diabetes have developed and the potential complications of these conditions.
- Discuss other potential problems that Mrs. A may experience resulting from long- term use of glucocorticoids.
Mrs. L is a 63-year-old woman who reports constant back pain. Further inquiry into her medical history … that over the past 3 years, she has …d fractures of her femur and wrist after minor falls. She … menopause at age 49. Mrs. L has a secretarial job, drives to work, and she “does not have time for exercise.” She reports that she consumes 8 to 10 cups of coffee a day and has been a smoker most of her adult life. She has not seen her physician recently nor had a …d bone density test because of the time and cost involved.
- Relate Mrs. L’s history to the diagnosis of osteoporosis. What risk factors are present, and how does each predispose to … bone density?
- Explain the cause of pathological fractures in this patient.
- How could osteoporosis have been … in Mrs. L?
- Discuss the treatments available to the patient.