meg Forum Guru
Topics: 62 Posts: 806
| | 01/28/04 - 01:27 PM  
 
   
 
|   #1 |
A 27-year-old female presents to the clinic complaining of nausea and vomiting. Her past medical history includes systemic lupus erthymatosus, vaginal candidal infections, and a treated vertebral stress fracture. A physical exam reveals abdominal striae and a moon face. What condition does she most likely have? A. Primary hypercortisolism B. Secondary hypercortisolism C. Primary hypocortisolism D. Secondary hypocortisolism E. Tumor secreting ACTH
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| asmi Forum Hero
Topics: 1043 Posts: 4,609
| | 01/28/04 - 03:08 PM  
 
   
 
|   #2 |
its B....
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| mahendra Forum Guru
Topics: 173 Posts: 419
| | 01/28/04 - 03:13 PM  
 
   
 
|   #3 |
why its secondary why not primary?
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| asmi Forum Hero
Topics: 1043 Posts: 4,609
| | 01/28/04 - 03:36 PM  
 
   
 
|   #4 |
it looks like drug induced to me
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| meg Forum Guru
Topics: 62 Posts: 806
| | 01/29/04 - 11:31 AM  
 
   
 
|   #5 |
Primary means the pathology(for the source) is the gland itself(here adrenal). Secondary means the regulator for the gland(here pituitary ACTH). The answer is A, primary.
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| asmi Forum Hero
Topics: 1043 Posts: 4,609
| | 01/29/04 - 12:00 PM  
 
   
 
|   #6 |
can u explain it meg.. I was thinking of secondary cause.. :roll:
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