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Re: Case study of endocrine disorder mimicking bipolar Phillipa

Posted by mtdewcmu on May 8, 2011, at 17:16:31

In reply to Re: Case study of endocrine disorder mimicking bipolar mtdewcmu, posted by Phillipa on May 7, 2011, at 23:25:32

> I think it's important to second guess the docs same here when hospital. But lots of times the docs had a ahhhh moment when we suggested something and they hadn't thought of it.

I'm pretty sure they didn't want suggestions from me, because I had no status. The charge nurse they would take seriously. But, my mind was always working. It would have been better if my mind had been more focused on doing my own job.

Once, I had a woman patient who had this recent history of bizarre behavior, and she a body that looked like the description of Cushing syndrome. She was in some state of delirium or psychosis in the hospital. She was being treated for some kind of accident or something -- something surgical. So medical stuff was not the priority. I managed to convince one of the RNs that her cortisol should be checked. I also mentioned it to one of the interns or second year residents, and he said he'd "float the idea" with the more senior docs. But I don't think it was done. I wished I had left it alone. You have to consider who are the Indians and who are the chiefs. Can't have too many chiefs.

> So Wiki has an article on Cushings and did you check wiki for pituitary gland microadenomas where it shows lactation. If not for us a lot of sicker people. Yes that would be something if the paper were wrong!!!! Phillipa

I read about microadenomas. Looks like some produce prolactin, and others ACTH. Says it's possible that an ACTH-producing one could be invisible on MRI. But the newspaper article doesn't say they considered the ectopic kind that can be in the lungs.

Not a doctor. Contact a doctor for medical advice.
20mg citalopram, 40mg d-amphetamine, 15mg mirtazapine, 300mg bupropion
dx: chronic MDD, probable ADHD (inattentive)




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