Unholy Sinner [R-18]

4 : Addison's Disease

Addison's Disease or HypoAdrenalism

✔️⬇️ Cortisol
✔️ autoimmune
✔️ no glucocorticoids, no mineralocorticoids, no androgen/testosterone

ASSESSMENT :
1. Hypoglycemia, abdominal pain
2. Hyponatremia, hyperkalemia, hypotension, dehydration
3. Dec. secondary sex characteristics, pigmentation or "bronze", "tan"

ADDISONIAN CRISIS : (complication)
-avoid triggering factors - stress, infection/illness, surgery.

*pt may die due to MI, shock

SIGNS AND SYMPTOMS OF ADDISONIAN CRISIS
1. Dec BP
2. Inc K, dec Na
3. Dehydration
4. Vascular collapse

MANAGEMENT :
1. Inc fluid ( TOP PRIORITY) to prevent hypovolemic shock
2. Steroids
3. Medications :
- hydrocortisone ( solu-cortef)
-fludrocortisone (Florinef)

⚜️🔱⚜️

Aviona

I walked at the other lane when entering the campus.

Mrs. Buenavista is here and is sending me daggers. Hindi ko alam na nandito pala siya. Dun ko lang naalala ang sinabi ni Luke na may event pala dito sa school ngayon and Cassy will speak. Kung nakamamatay lang ang mga tingin ay malamang patay na ako ngayon.

" Why are you here? Diba sabi ko na umalis ka na dito. This is a prestigious university and a harlot like you doesn't have any space here." Biglaang umusok ang ilong ko sa sinabi niya.

" I will not leave Mrs. Buenavista. As far as I am concerned, I am enrolled here and I have the right to study here. And also, I am not a whore. Bakit? Pagmamay-ari mo ba ang unibersidad na 'to. And why are you here anyway? Para insultuhin ako? Well, you don't need to destroy my name because it's already ruined." I said bitterly.

" Parehong pareho talaga kayo ng nanay mong pokpok." I did not think twice on slapping her on the face.

" You don't talk like that to my mom. My mother is not a whore and was never a whore" Buong galit kong wika. The guards came and took me away from Mrs. Buenavista.

" That woman is a whore! Paalisin niyo iyan dito!" Sigaw niya. I struggled to get away from the guards who held me.

" Bitiwan niyo ako. Aalis ako ng maayos" Malamig kong saad.

Pinagtitinginan na naman ako ng mga estudyante habang naglalakad paalis. I don't have friends. Walang may gustong kumaibigan sa akin dahil alam na ng buong unibersidad na anak ako sa labas and everbody thinks that my mother is a whore.

I don't have tears to shed anymore. Ubos na din ang mga luha ko kaya wala ng lumalabas. My feelings have been immuned to such criticisms already.

Luke came. Mukhang narinig niya ang naging eskandalo dito. He tried to approach me but I turned my head away from him and started leaving the place.

Nakakarinig pa ako ng bulung bulungan tungkol sa akin pero wala akong pakialam.

I was walking fast. Hindi ko pinapansin si Luke na nakasunod lang sa akin. Wala rin naman siyang imik at sinusundan lang ako. The student might think that he's just doing it because it's his job as a leader. Sinundan niya ako hanggang sa makarating ako labas ng school. I rode a jeep. Wala parin akong imik hanggang sa makasakay ako. Sumakay din siya. Mabuti nalang at hindi kami magkatabi ng kinauupuan. Ang pinaka ayoko sa lahat ay iyung kinakaawaan ako. Pasimple akong tumingin sa kinaroroonan niya at nakitang nakatingin pala siya sa akin.

I did not dare look at him. Ayokong magtama ang mga mata namin.

——