Clinical Case Study A Patient with Persistent Lactation and Recurrent Hypercalcemia Ryan Alberth Kintana National University CLS301 Clinical Biochemistry Background An overweight adolescent patient with constant bilateral lactation, diagnose with Hyperprolactinemia resulting elevated serum prolactin. Methods Patients go through a surgery performed through the nose and sphenoid sinus to extract the pituitary tumors. Then later develop a condition of absent production of the anterior pituitary hormones, with lack of vasopressin causing excessive production of very dilute urine, commonly result problems that influence the pituitary gland either decrease or remove its function or interfere with hypothalamic discharge of the varying pituitary-releasing
Romayn Acasuzo is a 5-year-old boy who was born at 39 weeks. Romayn achieved early developmental motor milestones within expected age ranges such as sitting up at 6 months and walking at 13 months, however, Romayn’s mother began to notice decreased socialization skills, behavior difficulties and speech delays. Romayn was diagnosed with Autism Spectrum Disorder (ASD). Autism spectrum disorder (ASD) is a neurodevelopmental disorder that impairs a child's ability to communicate and interact with others. ASD is characterized by impaired social interaction and communication, repetitive and stereotyped patterns of behavior, and uneven intellectual development, often with intellectual disabilities.
If blood glucose levels were within the target range insulin was omitted and if not, STAT dose with short acting insulin was given based on GRBS values through intravenous route. Insulin to OHA and OHA to insulin conversion was seen in some cases which were based on physician judgment. Thyroid supplements were continued on the day of surgery in all cases. In very few cases, thyroid supplements were continued even when patient is nil by mouth which indicate variation from