Mrs. Roberts, a 48-year-old female with a history of rheumat…
Mrs. Roberts, a 48-year-old female with a history of rheumatoid arthritis, has been taking prednisone 10 mg daily for the past year. She presents to the emergency department with nausea, vomiting, abdominal pain, fatigue, and hypotension after abruptly stopping her prednisone 5 days ago due to concern about side effects. Laboratory results show: Na+ 127 mEq/L, K+ 5.8 mEq/L, glucose 58 mg/dL, and random cortisol 3 μg/dL (low).
Read DetailsMs. Wonder develops a sudden, severe headache — worse than s…
Ms. Wonder develops a sudden, severe headache — worse than she has ever experienced before, along with facial pain, diplopia, and acute meningeal signs. These manifestations suggest that Ms. Wonder may have developed which one of the following?
Read DetailsJane, a 32-year-old female, presents with complaints of weig…
Jane, a 32-year-old female, presents with complaints of weight loss despite increased appetite, heat intolerance, anxiety, insomnia, and tremors over the past 2 months. Physical examination reveals tachycardia (HR 112 bpm), mild exophthalmos, and a diffusely enlarged thyroid gland without nodules. Laboratory results show: TSH 0.01 mIU/L (low), Free T4 2.9 ng/dL (elevated), Free T3 220 ng/dL (elevated), and positive TSI (thyroid-stimulating immunoglobulin).
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