Case Report: Cushings Syndrome Presenting as Hypertensive Emergency with Acute Pulmonary Odema
Journal Title: Journal of Emergency Medicine & Critical Care - Year 2018, Vol 4, Issue 1
Abstract
A 22 Year old obese woman presented to emergency medicine department in severe respiratory distress. It was sudden in onset, progressive & associated with cough with pinkish frothy sputum. Her vitals on arrival to ER were BP of 190/130 mmHg, HR of 136 bpm, RR of 34 cpm, SpO2 of 72% on room air. On examination, there were diffuse fine end inspiratory crepitations bilaterally with severe respiratory distress. Patient was immediately treated for hypertensive emergency with pulmonary odema with intravenous Furosemide, IV Nitroglycerin, Oxygen therapy with NIV CPAP. Upon further evaluation in the observation unit, it was found that the patient was also having hyperglycemia, hypocalcemia, hypokalemia, metabolic alkalosis, obesity, purple striae over the abdomen, with irregular menstrual cycles. A screening test of overnight dexamethasone suppression test was done and found serum cortisol to be significantly elevated (51.49 μg/dL), confirming the diagnosis of cushings syndrome presenting with hypertensive emergency and acute pulmonary odema.
Authors and Affiliations
P. V Sukesh
Keywords
Related Articles
- EP ID EP486715
- DOI 10.13188/2469-4045.1000012
- Views 84
- Downloads 0
Electrical Storm - Brugada’s Syndrome- A Case Report and Literature Review
Brugada Syndrome is an uncommon and potentially lethal disease with a high potential for morbidity if not diagnosed and treated early. New findings have changed detection and management. This case report illustrates a pr...
Case Report: Cushings Syndrome Presenting as Hypertensive Emergency with Acute Pulmonary Odema
A 22 Year old obese woman presented to emergency medicine department in severe respiratory distress. It was sudden in onset, progressive & associated with cough with pinkish frothy sputum. Her vitals on arrival to ER wer...
Is Transfusion an Independent Predictive Risk Factor of Postoperative Outcome in Pediatric Orthopedic Surgical Patients? A Retrospective Study
Background: Intraoperative and postoperative morbi-mortality factors are multiple in pediatric patients. Studies in pediatric cardiac surgery and intensive care patients have identified transfusion as one independent fac...
The Impact of Alcohol on Admissions to a Welsh Intensive Care Unit: A Short Report
Introduction: The average annual number of alcohol-related hospital admissions for residents of Wales is reported to be 1.5% of all admissions. We have completed a prospective evaluation of the impact of alcohol-attribut...
Incidence of Pulmonary Embolism in Patients with Positive D-Dimers and Chest X-ray Evidence of Pneumonia: A Retrospective Study
Introduction: Evaluation of chest pain in the Emergency Department is common. Significant resources are expended looking for dangerous etiologies. The D-dimer is frequently utilized but can be positive in a variety of pa...