Question

Symptom Presentation: Cortisol: Increased production of cortisol by the adrenal cortex Bone Loss: Decreased bone mineral density (BMD) confirmed via dual-energy x-ray absorptiometry (DEXA) Previously, you researched and considered three conditions through the process of differential diagnosis that would present with varying abnormalities in homeostasis, metabolism, triglycerides and DNA in week 1 and abnormalities in oxidation, plasma and tissue enzyme activity, inflammation and alopecia respectively in week 2. Given the new symptom presentation above, consider and answer the following questions within a video or written presentation: If choosing a video presentation, spend a minimum of one minute on each of the three questions below. If choosing a written presentation, create a 2-3 paragraphs per each of the questions listed below. Given the new presenting symptoms listed above, has your diagnosis from week 2 changed? Why or why not? Is there a correlation between increased cortisol production and bone loss or are these two separate unassociated symptoms? Rationalize your choice. Does the current symptom presentation from weeks 1, 2 and 3 align with endocrine (hormonal) imbalances? Rationalize your answer. Within your video or written presentation, please be certain to validate your opinions and ideas while disclosing the sources utilized within your video presentation or written presentation (APA format).

Answer 1

Given the new presenting symptoms listed above, has your diagnosis from week 2 changed? Why or why not?

No, symptoms presented here for the first and second week, both were coorelated with the consequences of stress and cortisol production in stress.

Is there a correlation between increased cortisol production and bone loss or are these two separate unassociated symptoms?

Yes! Cortisol is the body's stress hormone produced in response to stress by adrenal gland. Production of cortisol interferes with formation of osteoblast resulting in decrease in bone building eventually ends with decreased bone density. Hence more breakdown of bone tissues occured compared with bone deposition. When a patient have an increase in chronic elevation of stress hormones increased the risk of osteoporosis.

Does the current symptom presentation from weeks 1, 2 and 3 align with endocrine (hormonal) imbalances?

Endocrine disorders usually manifests with the neurological symptoms such as headache to acute encephalopathy which includes coma. Hormone plays an essential role when it comes to smooth functioning of body. When it gets altered by either getting increased or decreased resulting in manifestation of symptoms. if it is diagnosed earlier, can be treated according to symptomatic and cause management. Until diadnosis, according to the hormones involved patients manifestations will be there. That's what the current symptom presentation from weeks 1, 2 and 3 align.