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-What are the other tests performed for the measurement Cortisol? Explain the principle and procedure.
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- Edward and Ariana were provided with injectable insulin. What would be the expected changes in the blood and urine glucose composition if they were injected with insulin? Control Edward Taylor Ariana Perry Presence of Sodium in Urine Blue Blue Orange Blue Blue Presence of Ketone in Urine Pale Pink Pink Pale Pink Pale Pink Pale Pink Urine Glucose Levels (mmol/L) 0.0 1.0 0.0 0.0 1.0 Blood Glucose Levels (mmol/L) 5.6 8.4 5.2 6.1 9.6 Additional Note None Sweet smelling urine None Large urine output Sweet smelling urineThe nurse working in an endocrine unit should see which client first? A. A client taking corticosteroids who has become disoriented in the last two hours. B. An adolescent male with type 1 diabetes who is arguing about his insulin dose. C. An older client with Addison's disease whose current blood sugar level is 62 mg/dL D. An adult with a blood sugar of 384 mg/dL and urine output of 350 mL in the last hourHow would you classify a patient with the following laboratory values? Cr 0.9 mg/dL, BUN 51 mg/dL, Uric acid 5.2 mg/dL (3.5-7.0 mg/dL), Cystatin C 0.98 (0.53-0.92)? prerenal azotemia intrarenal azotemia postrenal azotemia O none of the above
- A patient with Cushingâ s syndrome due to an adrenal tumor would have high plasma levels of CRH. True False 2. The normal response to a low dose (1 mg) dexamethasone suppression test is a reduction in plasma cortisol to less than ~5 microgram/dL. True False 3. ACTH stimulates the conversion of cholesterol to pregnenolone in cells of the adrenal cortex. True FalseCortisol Levels in Blood Plasma Patient Time Cortisol Levels (nmol/L) 1 09:00 a.m. 140 1 Midnight 80 2 09:00 a.m. 580 2 Midnight 315 3 09:00 a.m. 350 3 Midnight 235 Three patients had their blood samples analyzed for levels of cortisol hormone. Their blood samples were drawn at 9 a.m. in the morning and at 12 a.m. (midnight). 1) Provide an example of another hormone involved in the regulation of blood glucose levels that would be higher in the morning.Sir Charles blood sample was taken at 9am for serum cortisol in addison disease. The Laboratory result for the cortisol level is 36mg ( reference > 55mg). a. What is the essence of the time in taken the blood sample b. What is the major cause of the addison disease. c. How will you investigate addison disease in the lab. d. What is the likely symptoms and signs in addison disease
- Which two of the following statements are correct? 1. for all cortisol assays, the corticosteroid-binding protein is also being measured 2. salivary cortisol represents 'free' 'active' cortisol 3. urinary cortisol contains bound and free cortisol 4. protein bound cortisol cannot enter cells 5. salivary cortisol contains bound and free cortisolMS Manal is a 42yo female complains of constant fatigue, despite a full night's sleep. She says her mood is poor and does not have any energy to do anything. She is noted to be wearing a sweater despite warm weather and her hands seem very dry. Labs: T4(free)-low. TSH-high. What is your evaluation of this patient: a. Hyperthyroidism and needs levothyroxine b. Hypothyroidism and needs levothyroxine c. Hypothyroidism and no need for treatment now d. Hyperthyroidism and needs PTUCortisol Levels in Blood Plasma Patient Time Cortisol Levels (nmol/L) 1 09:00 a.m. 140 1 Midnight 80 2 09:00 a.m. 580 2 Midnight 315 3 09:00 a.m. 350 3 Midnight 235 Three patients had their blood samples analyzed for levels of cortisol hormone. Their blood samples were drawn at 9 a.m. in the morning and at 12 a.m. (midnight). a) Compare the different levels of cortisol between morning and night. Use data from the table as evidence. b) Considering the fact that most people do not eat for approximately 12 hours after having dinner and before they eat breakfast, explain why there is a difference in cortisol levels between morning and night. c) Provide an example of another hormone involved in the regulation of blood glucose levels that would be higher in the morning, before breakfast.
- Match the following hormones with their actions: ACTH epinephrine testosterone ADH estradiol thyroxine aldosterone insulin cortisol parathyroid hormone 1. sympathomimetic; elevates heart rate, blood pressure 2. promotes growth and maintenance of male sex characteristics 3. stimulates water reabsorption by kidney tubules; decreases urine 4. increases metabolism in body cells 5. raises blood calcium 6. increases reabsorption of sodium by kidney tubules 7. stimulates secretion of hormones from adrenal cortex 8. increases blood sugar_ 9. helps transport glucose to cells and decreases blood sugar 10. develops and maintains female sex characteristics __ Give the meanings for the following conditions: 11. hyponatremia - 12. polydipsia - 13. glycosuria - 14. euthyroid- Give the meanings for the following terms related to diabetes mellitus: 15. DM type 1 - 16. diabetic neuropathy - 17. ketoacidosis - 18. DM type 2-32) Which is the gold standard for the diagnosis of primary aldosteronism? A Low dose dexamethasone suppression test B High dose dexamethasone suppression test C Inferior petrosal sinus sampling D Adrenal vein sampling E Late-night salivary cortisolI am struggling with deciding what adrenal eitologies line up best with these case studies. A 22 year-old woman (no family history available, not currently taking medication, negative medicalhistory) presents with.... C. mild hypotension and hyperkalemia. Blood pH is 7.38 and BUN is 34mg/dL and GFR is 82ml/min. D. hypotension with muscle weakness, fatigue, weight loss, heart palpitation, weight loss,and secondary amenorrhea. Her laboratory results reveal hyperkalemia. Fasting bloodglucose is 55mg/dL, serum albumin is 8.0 mg/dL and blood pH is 7.35. E. hypertension with headache, diarrhea and abdominal pain. The patient also suffersfrom panic attacks and hot flashes. Fasting plasma glucose is 285 mg/dL and TSH is 6.5μU/mL.