2. Why would joint damage be associated with rapid growth and low testosterone levels?
The reason Eric could be experiencing joint damage from rapid growth and low testosterone is due to the role testosterone has on bone. Testosterone is responsible for bone density and maturation. If Eric is growing too quickly due to excess GH and not producing enough testosterone due to low LH and FSH then he would experience low bone mass. Testosterone is also responsible for the hardening of the ends of the bones. When the ends of the bones are not hardening as they should due to rapid growth and low testosterone the result is joint damage. This would explain why Eric’s doctor could not find a cause to his joint damage when they removed 500cc’s
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Why are his kidneys so active at night? Note: diabetes insipidus is not diabetes mellitus, so the answer is not high blood sugar levels or an insulin deficiency. Diabetes merely means high urine production. Look for a specific hormonal problem involving the pituitary. What hormone would
Dr. Lee have prescribed?
Central Diabetes Insipidus is caused by a lack the Antidiuretic Hormone (ADH) or Vasopressin produced by the hypothalamus and secreted by the posterior pituitary gland. ADH is responsible for the amount of water excreted by the kidneys. If ADH is low or not being secreted then the kidneys do not function properly and excrete too much water. This is why it is termed Central Diabetes Insipidus, because the problem lies in the pituitary gland and not in the kidneys which is termed nephrogenic diabetes insipidus.
Dr. Lee should prescribe the hormone Vasopressin (Desmopressin or DDAVP) which can be given by nose spray, injections or tablets. Vasopressin should help to regulate Eric’s urine output and help maintain his fluid balance.
https://www.nlm.nih.gov/medlineplus/ency/article/000460.htm
4. It also turns out that he has unpredictable shock responses, so that a small cut needing three stitches left him pale and in
Sacroiliac joint dysfunction is found in 15 to 30% individuals with low back pain.1 Sacroiliac joint dysfunction can be a result of acute trauma, heavy lifting, prolonged bending, torsional strain, fall on to the buttocks and motor vehicle accidents. Chronic and repetitive shear or torsional forces associated with sports like golf, bowling, skating may also result in sacroiliac joint dysfunction. Prolonged sitting or lying on the affected side, more weight bearing on the affected side during walking or standing, forward bending with knees extended may also predispose a person to sacroiliac joint dysfunction.3 Mechanism of dysfunction: Dysfunction occurs mostly when a person lifts something in a forward flexed position or stands in lordotic posture. Due to this, line of gravity shifts anterior to the acetabulum which creates rotational force in extension around
He was on this previously for CIDP. ROS: Genitourinary - History of BPH, for which he is on tamsulosin. EXAMINATION: He continues awake and alert. He converses easily and appropriately.
Another illness that is mentioned in the book is diabetes. As Dr. Moalem describes it, “In diabetics, the process through which insulin helps the body use glucose is broken, and the sugar in the blood builds up to dangerously high levels.” The body either fails to produce enough insulin, or the body tissues become resistant to insulin, leading to high levels of glucose in the blood. The elevated levels of glucose build up in certain organs and the high glucose concentration in these organs can lead to serious complications, such as blindness, heart disease, stroke, vascular disease, nerve damage, and kidney damage. Some of the symptoms include fatigue, thirst, hunger, blurry vision, and the frequent need to urinate.
He was a known heroin user and was in and out of treatment. You were able to see the track marks in both of his arms. His skin was cyanotic, pale and clammy, along with pinpoint pupils. The ALS provider struggled to get an IV due to the long term drug abuse, so his veins were not adequate. Also, there wasn 't a clear report on when the patient was last seen at his baseline and responsive.
Orthostatic hypotension has many etiologies but the baseline is that it is generally caused by a dysautonomic syndrome, drugs, volume depletion or a combination of a variety of factors. Peripheral autonomic (sympathetic) denervation, resulting from systemic diseases can prevent needed peripheral vasoconstriction with standing, diseases such as diabetes and amyloidosis. Other diseases are Parkinsonism , and Addison’s, porphyria, tabes dorsalis, syringomyelia, spinal cord transection , Guillian–Barré syndrome, Riley–Day syndrome, surgically induced sympathectomy, pheochromocytoma, multisystem atrophy, Bradbury–Eggleston syndrome, and the Shy–Drager syndrome (which is also known as idiopathic orthostatic hypotension). There is a variety of medications that can cause syncope by causing orthostatic hypotension and other mechanisms also leading to syncope. These are vasodilators (such as hydralazine, nitrates, angiotensin-converting enzyme inhibitors), adrenergic blockers and adrenergic stimulants, diuretics, tricyclic antidepressants, phenothiazines, and others, can cause orthostatic
She suggests that injury can be a blessing in disguise, and that it is important to stop and listen to the body and recognize its limitations. She stresses that injury should not be seen as a burden, but as a helpful reminder. As a result, injury could act as a way of reordering an athlete’s life. Dancer Cora Bos-Kroese experienced a serious back injury and claimed that the injury “really made her think”, and she realized she could perform differently. She decided to start listening to her body and to work with it instead of against it.
Case Study 1 – The Endocrine System Christina D’Amico University of Saint Joseph Abstract A fifteen-year-old boy with many hormonal abnormalities starting at the age of eleven suffered from joint pain and swelling along with poor bone growth and development. He broke his left hip and had low levels of testosterone and high levels of growth hormone resulting in gigantism and later acromegaly.
The knee joint is one of the strongest and most important joints in the human body. It allows the lower leg to move relative to the thigh while supporting the body’s weight (Taylor, n.d.) as knee joint is one of the major weights bearing joint in the body. Knee joint plays an important role in our daily lives such as walking, running, sitting and standing. It allows physiological movement such as flexion and extension.
Primary diagnosis: Late effects of musculoskeletal and connective tissue injuries (Amputation). Secondary diagnosis: Affective/mood disorders. Rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr The claimant was a 34-year-old man.
Mechanism of injury When forces disrupt the congruency of the ankle mortise, the distal tibiofibular syndesmosis injuries occurs. Syndesmotic injury can occur to any or all of the following structures: posterior tibiofibular ligament, anterior tibiofibular ligament, including its superficial and deep components (transverse ligament), interosseous membrane and interosseous ligament. (2) The distal tibiofibular ligaments injuries are often incomplete and associated with other injuries. Depending on the forces involved and mechanisms, the anterior tibiofibular ligament can become sprained or even avulsed with a small bone fragment from the fibula or tibia.
It is important for you to drink plenty of water. You should drink at least 8 cups of water each day in order to stay hydrated. If you do not drink enough water, you can get constipated, have problems with your balance and fall, get urinary tract infections, have kidney failure and your wounds heal slower. You can drink a variety of things in order to stay hydrated. Water is the best thing to drink, but you can also drink fruit or vegetable juice, nonfat milk, low-sodium soup, and even coffee or tea.
Numerous causes may, therefore, explain these symptoms. Most evidence suggests that the cause of nocturnal enuresis is multifactorial. Possibilities include the following. A- GENETICS:
Today, within the framework of psychoanalysis social identity problem dealt with in detail Erikson, interest in particular issues of the evolution of self-consciousness of man and the stages associated with the development of his identity. It has identified eight stages in the formation of a mature identity. The first four stages occur in infancy and childhood, the fifth stage of puberty, and the last three in adulthood, old age inclusive. In his works Erikson puts special emphasis on puberty, because then a transition from childhood to adulthood. What is happening at this stage is very important for the personality of an adult.
Bone growth and shape is determined by the Growth or epiphyseal plate. It is the soft tissue at the end of a bone in a pre-adult that determines the length and shape of the bone. At some point in adolescence, this tissue will solidify and turn into a bone matter, ultimately determining the extent of body growth. While it is feared that strength training will cause damage or hardening of the growth plate, according to an article by the National Institutes of Health (NIH), the cause of most growth plate injuries is acute trauma such as a bad fall (gymnastics), a strong blow to a limb (football), or overuse (long-distance runners). Therefore, youth strength training conducted safely and methodically cannot negatively affect a healthy child’s body in any way.
Moreover, if water proportion in the body goes low, that will cause