Adrenal Insufficiency as a Cause of Loss of Consciousness: A Case Study

2014 ◽  
Vol 5 (2) ◽  
Author(s):  
Fahimeh Soheilipour ◽  
Mohammad Ahmadi ◽  
Fatemeh Jesmi
2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Fahimeh Soheilipour ◽  
Mohammad Ahmadi ◽  
Fatemeh Jesmi

2018 ◽  
pp. 8-11
Author(s):  
Todd W. Thomsen

Head injury is often associated with other serious trauma. Clinical decision rules such as the Canadian CT Head Rule can guide clinicians in the judicious use of neuroimaging, which can then guide the appropriate course of treatment. Rapid assessment of patients requiring neurosurgical intervention is critical, as is appropriate management of blood pressure and hypoxia. This chapter considers a case study of blunt head injury with loss of consciousness of a skier in the backcountry, The author addresses patient history, physical exam, differential diagnoses, clinical course, and key management steps. The patient’s condition relative to the Canadian CT Head Rule is specifically discussed.


Author(s):  
Matthew D. Sjoblom ◽  
Diane Gordon ◽  
Lori A. Aronson

Hypopituitarism is a decreased secretion of pituitary hormones. It is especially concerning during surgery and anesthesia if it results in adrenal insufficiency, hypothyroidism, or diabetes insipidus. Common causes in children include pituitary tumor and/or treatment, traumatic brain injury, and empty sella syndrome. Perioperative management includes recognition of clinical symptoms, such as hypotension, fatigue, polydipsia, and increased urine output. Unrecognized adrenal insufficiency may result in significant morbidity or mortality. Intraoperative treatment may involve stress-dose corticosteroids, careful fluid management, and desmopressin. This chapter uses the case study of a 9-year-old boy who presents for bilateral removal of tibial orthopedic hardware to illustrate the concepts.


Author(s):  
Tahir Hussain ◽  
Pankaj Kumar

Amlapitta is a diseases caused due to increase in the amla guna of pitta dosha. Amlapitta is divided on the basis of gati i.e. Urdhwaga Amlapitta and Adhoga Amlapitta. Adhoga amlapitta shows symptoms like trisha, daha, murcha, bharma, moha, mandagni etc. and Urdhwaga Amlapitta shows symptoms like tikta-amlaudgara, kanthhridyakukshidaha, tikta-amalchardi etc. Due to resemblance of sign and symptom it is correlated with Gastritis. Gastritis is diseases that have symptoms like epigastric pain, nausea, vomiting, bloating, heart burn etc. Gastritis occurs due to inflammation of the gastric mucosa. Prevalence of Gastritis all over the world population is 50% and it increases with age. It affects about 8-20% of population in India. A 22 years old female patient from Sirsa, Haryana was having complain of burning sensation in stomach and oesophagus after intake of food, sour belching, dry and burnt tongue since four months. She was also having history of loss of consciousness 2 month back. Her aggravating factor is mainly intake of lunch meal wherever relieving factors consist of milk and amalaki juice consumption. On the basis of all sign and symptoms she was diagnosed with Ubhyaga Amlapitta. In this case the treatment planned was Sadhyo Vamana followed by classical Virechana. In this case the given treatment pacifies mainly pitta dosha along with kapha and vata dosha due to their Amlapitta is a diseases caused due to increase in the amla guna of pitta dosha. Amlapitta is divided on the basis of gati i.e. Urdhwaga Amlapitta and Adhoga Amlapitta. Adhoga amlapitta shows symptoms like trisha, daha, murcha, bharma, moha, mandagni etc. and Urdhwaga Amlapitta shows symptoms like tikta-amlaudgara, kanthhridyakukshidaha, tikta-amalchardi etc. Due to resemblance of sign and symptom it is correlated with Gastritis. Gastritis is diseases that have symptoms like epigastric pain, nausea, vomiting, bloating, heart burn etc. Gastritis occurs due to inflammation of the gastric mucosa. Prevalence of Gastritis all over the world population is 50% and it increases with age. It affects about 8-20% of population in India. A 22 years old female patient from Sirsa, Haryana was having complain of burning sensation in stomach and oesophagus after intake of food, sour belching, dry and burnt tongue since four months. She was also having history of loss of consciousness 2 month back. Her aggravating factor is mainly intake of lunch meal wherever relieving factors consist of milk and amalaki juice consumption. On the basis of all sign and symptoms she was diagnosed with Ubhyaga Amlapitta. In this case the treatment planned was Sadhyo Vamana followed by classical Virechana. In this case the given treatment pacifies mainly pitta dosha along with kapha and vata dosha due to their guna and karma.


1997 ◽  
Vol 51 (1) ◽  
pp. 79-90
Author(s):  
George R. Slater

Addresses the challenge presented to pastors and pastoral psychotherapists by cases of chronic stuckness or inertia. Uses a Jungian model of conscious-unconscious reciprocity, describing inertia in terms of energy imbalance and a loss of consciousness, and identifies the conscious attitude toward the unconscious as a key factor in the difficulty. Illustrates this with a brief case study. Finds religious parallels in the attitude of faith and notes the unique resources of divine grace to shift inertia.


1996 ◽  
Vol 24 (2) ◽  
pp. 221-227 ◽  
Author(s):  
G Akçay ◽  
F Aral ◽  
N Özbey ◽  
A Azezli ◽  
Y Orhan ◽  
...  

Long-standing primary failure of pituitary-dependent endocrine glands may lead to hyperplasia of the pituitary cells. These changes in the pituitary gland may be correlated with the severity and duration of target-endocrine gland insufficiency. Production of adrenocorticotrophic hormone by the pituitary tumour and modest hyperprolactinaemia may develop due to adrenocortical insufficiency, but production of prolactin by the pituitary tumour due to primary adrenal insufficiency is rare. A case study is presented, with primary adrenal insufficiency associated with hyperprolactinaemia and pituitary macroadenoma (most probably prolactinoma). Plasma levels of prolactin were found to decrease after glucocorticoid, mineralocorticoid and bromocriptine therapy.


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