Case Report “Hyper Aldo”. By: Damian Casillas Glenda Flores Isabella Hudson Kayla Mercer. Patient: Aldo Conn.
By: Damian Casillas
42 year old male showed up at Masonic Health Care Center reporting symptoms of headache, extreme fatigue, muscle cramps and weaknesses, and vision problems.
Reported seeing symptoms about 3 weeks after his son had died in a car accident.
Patient is a college English professor at ECSU.
Reported the loss of his son in a car crash about two weeks ago.
Reported that he has been under a lot of stress related to his relationship problems between him and his wife.
Patient was seen by the center’s Internist.
History and physical exam taken.
Medical history reveals that he had pneumonia at age 23.
Reports recent thoughts of suicide
Patient Meds= Benadryl (common seasonal allergies)
Physician who specializes in the diagnosis and medical treatments of adults..
Responsible for all adult medicine (internal medicine)
Minimum of 7 years of med. school and postgraduate training
Diagnose and provide non-surgical treatment for diseases and injuris of internal organ systems.
HEENT: eye exam reveals sclera is red and inflamed
Palpation revealed no abnormalities
CN Exam: WNL
Reports his previous thoughts of suicide to the internist
Rx: Anti-Depressents and psychotherapy every other day
Patient reports 2 weeks later that he was temporarily paralyzed while trying to take his daily morning walk. He claims he remained paralyzed for only a short time.
Reported to his wife and later that night she drove him to the hospital.
Patient was admitted to Bradley Memorial
Patient seen by the Cardiologist
A Cardiologists specialize in the diagnosis, treatment and intervention of diseases of the heart and cardiovascular system.
Most of them work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel.
The cardiologist also needs to be an expert on diet and exercise.
Provide treatment to patients suffering from heart problems
Maintain detailed reports on each patient and also a report on their progress
Give medicines that are compatible with the other medicines the patient is taking
Vital Signs: Normal
CPK Blood Test: High (abnormal)
HPI:The patient is a 42 year old white male three weeks status post myocardial infarction with no complications.
FH:Father died of AMI age 51 yrMother alive and well age 70 yr
No sisters or brothers
SH:Married, two children, English professor
No smoking or significant alcohol history
Lungs: clear to auscultation
CV: Normal sinus rhythm, rate 84 bpm
Extremities: no edema
Dx: Post myocardial infarction with no complications.
Rx: Referred to the cardiac rehabilitation program for an exercise routine and lifestyle modification in order to reduce routine and lifestyle modification in order to reduce his risk for a second MI.
Patient notices symptoms reoccurring more frequently and more severe
Wife notices him suffering and convinces him to go admit into the hospital
Patient admits to Joshlin Diabetes Center at NBGH
Seen by the hospital’s Endocrinologist.
Reports to the Endocrinologist of his previous visits to the health center and Bradley.
Specialty training, takes about ten to twelve years of training
Trained to diagnose diseases that affect your gland
Involves the diagnostics of a wide variety of symptoms and the long term management of disorders having to do with the endocrine system
Help restore the balance of hormones in our bodies
Conduct basic research to learn how certain glands work. With this they decide on the treatment that will be given to the patient. Through research, new drugs and treatments are found for hormone problems.
Inserted a catether into the veins of the adrenal glands and determined the left gland grew
Abdominal CT scan
Amiloride and triamaterene
Also called “Conn’s Syndrome”
Most cases of primary hyperaldosteronism are caused by a noncancerous (benign) tumor of the adrenal gland.
Two types: Primary and Secondary
Secondary Hyperaldosteronism- fatigue, headache, temporary paralysis, muscle weakness, and numbness.
Primary Hyperaldosteronism- high blood pressure and low potassium levels. These cause other problems such as heart attack, heart failure, stroke, excess thirst and urination, or kidney failure.
Secondary Hyperaldosteronism- Impotence and gynecomastia (enlarged breasts in men)
The outlook for primary hyperaldosteronism is good with early diagnosis and treatment.
The outlook for secondary hyperaldosteronism depends on the cause of the condition.
Surgical removal of an adrenal tumor or an adrenalectomy results in complete resolution of symptoms and return to normal blood pressure in about 70% of cases.
If a tumor is responsible for the disease but cannot be removed, or if both adrenals are involved, the prognosis remains excellent with treatment.
If hyperaldosteronism is untreated or if treatment is delayed, irreversible damage to the heart and/or kidneys can occur. Depending on the extent of such damage, the prognosis may be less optimistic.
Professor at ECSU
Symptoms disappeared after he recovered from his surgery
Lives happily with his wife and son.
"Cardiology Case Study 23 Progress Notes." Web Link Redirector. N.p., n.d. Web. 4 June 2012. <http://www2.kumc.edu/instruction/pharmacy/old_cardiocases/case23/progress.html>.
"Cardiologist Job Description." Health Care Salary Online . N.p., n.d. Web. 4 June 2012. <http://www.healthcaresalaryonline.com/cardiologist-job-description.html>.
"Cardiologist Job Description and Duties." Sample Resume Examples and Writing Tips. N.p., n.d. Web. 4 June 2012. <http://www.bestsampleresume.com/job-descriptions/cardiologist.html>.
A.D.A.M Medical Encyclopedia. PubMed Health. 26 July 2011. 2 June 2012 <http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004167/>.
"Aldosteronism Prognosis - Medical Disability Guidelines." Disability Guidelines – Return to Work Durations and Treatment - MDGuidelines. N.p., n.d. Web. 4 June 2012. <http://www.mdguidelines.com/aldosteronism/prognosis>.
AAES. The American Association of Endocrine Surgeon. nd. 30 May 2012 <http://endocrinediseases.org/adrenal/hyperaldosteronism_symptoms.shtml>.
Chorousos, G.P. MedScape. 10 May 2012. 4 June 2012 <http://emedicine.medscape.com/article/920713-overview>.
Rennert, N. MD. Penn State Hershey: Hyperaldosteronism- primary and secondary. 26 July 2011. 31 May 2012 <http://printer-friendly.adam.com/content.aspx?productId=117&pid=1&gid=000330&c_custid=758>.
Rull, G. PhD. Patient.co.uk. 28 January 2011. 28 May 2012 <http://www.patient.co.uk/doctor/Hyperaldosteronism.htm>.
Unknown. Blog Spot: Diagnosis: Hyperaldosteronism (Conn's Disease). 10 November 2008. 1 June 2012 <http://hyperaldosteronism.blogspot.com/2008/11/my-symptoms.html>.
unknown. "Masonic Health Care." nd. Hosptials World Wide. 3 June 2012 <http://www.hospitalsworldwide.com/listings/604.php>.
Unknown. Right Diagnosis. 1 February 2012. 30 May 2012 <http:rightdiagnosis.com/h/hyperaldsteronism_induced_hypertension/prognosis.htm>.