5 : Cushing's Disease

59K 1.1K 22
                                    


Cushing's Disease or Hypercortisolism

✔️ ⬆️ cortisol
✔️ inc. glucocorticoids, inc. mineralocorticoids, inc. androgen/testosterone
✔️due to surgery

ASSESSMENT :
1. Trunkal obesity
2. Moonface
3. Buffallo hump
4. Hyperglycemia
5. Protein wasting
6. Striae
7. Hypernatremia
8. Hirsutism
9. Menstrual irregularities

MEDICATIONS:
1. Aminoglutethimide (elipten) - short term

⚜️🔱⚜️

Aviona

I missed class because of what happened. I was walking going inside my apartment when I felt his strong hands hug me from behind. He closed the door and locked it.

" Para kang asong nakasunod sa akin" I tried to make my voice cheerful like nothing happened.

" What happened?" He asked.

" Wala. Napaaway lang. Alam mo namang siga ako eh. Ayun tuloy napaaway na naman ako." I told him. I saw how his eyes question me.

" Uhm may lakad ako mamaya kaya umalis ka nalang muna" I told him so that he could leave. He still was giving me that look.

I took a deep breath.

" Si Cassy. Your vice president. Matagal ka ng gusto nun." Paninimula ko sa kaniya.

" Paano napasok sa usapan natin si Cassy?" He questioned me. He looked pissed right now.

Huminga ako ng malalim.

" We should stop this Luke. Kung masmaaga ko lang sana na nalamang may gusto pala sa 'yo ang kapatid ko, hindi na sana kita pinatulan pa" I explained it to him.

" And why would you do that?" Ngayon ay nahihimigan ko na ang galit sa boses niya.

" She's a better woman, Luke. Atleast you will be with someone whom you can be proud of. Luke, my name is tainted in the society. You cannot be with me. Ngayon pa na pagkatapos ng graduation mo ay tatakbo ka na sa susunod na eleksyon. You will be the talk of the town. Your rivals will scrutinize your backgrounds and you will lose if they found out that you're having this kind of set up with me" Dirediretso kong wika sa kaniya.

" Why are you suddenly becoming like this, Aviona? The Aviona I know is possessive. Hindi nagpapatalo. Hindi madaling sumuko. At hindi ako basta basta pinamimigay" Ramdam ko sa boses niya na pinipigilan lang niyang magalit.

" Hindi kita pinamimigay. Iba ang pagkakaintindi mo sa sinasabi ko" I am trying my very best to make him see what I meant

" Then where are these coming from Aviona? Kanina okay naman tayo ah." He explained

" That was before I knew about my sister's feelings for you, Luke." I was trying to defend something I don't even know.

" Tangina naman Avi. Wala akong balak makipag-away sa 'yo dahil dito" He cursed out loud before leaving me. Alam kong galit ma galit siyang umalis. His fists were clenched.

And just like that, I saw myself in a situation where I question my choice of actions.

Stop it bitch. You don't have feelings for him. Hindi ka puwedeng magmahal.

——

Unholy Sinner  [R-18]Tahanan ng mga kuwento. Tumuklas ngayon