Hana Bill is a 38-year-old who runs Tini Restaurant at Woomba shopping center. She presented to St Mary’s Private Hospital, Woomba complaining of drastic weight gain over six months, significant facial hair growth, menstrual abnormalities, and both excessive thirst and appetite. Recently, Hana also feels dull and depressed, does not have much energy, and has stopped performing all her favorite activities including tennis at Action Indoor Sports Stadium.
Hana is a successful and busy business person in Woomba, never smoked and only consumes alcohol in moderation at social events. She has several allergies (House dust mites, cockroaches, and dog’s dander) and is not taking any medications other than a daily multivitamin tablet and betamethasone (as needed) for her asthma (used for many years). On clinical examination, the clinician, Dr Smith noticed protuberant with striae and minimal bruising in her abdomen, and no abdominal tenderness, and both upper and lower extremities show areas of hyperpigmentation. Laboratory results confirmed that her cortisol levels were high indicating Cushing syndrome.
Questions
- Describe the primary signs and symptoms of Cushing syndrome.
(250 words)(relate it to the case study) - What treatment and follow up options are there for her condition?
(250 words)(relate it to the case study)