Adrenal insufficiency
Your adrenal glands are just above your kidneys. The outside layer of these glands makes hormones that help your body respond to stress and regulate your blood pressure and water and salt balance. Addison disease happens if the adrenal glands don't make enough of these hormones.A problem with your immune system usually causes Addison disease. The immune system mistakenly attacks your own tissues, damaging your adrenal glands. Other causes include infections and cancer.Symptoms includeWeight loss Muscle weakness Fatigue that gets worse over time Low blood pressure Patchy or dark skin Lab tests can confirm that you have Addison disease. If you don't treat it, it can be fatal. You will need to take hormone pills for the rest of your life. If you have Addison disease, you should carry an emergency ID. It should say that you have the disease, list your medicines and say how much you need in an emergency.NIH: National Institute of Diabetes and Digestive and Kidney Diseases
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Self Emploid(private Clinic)
Morbi
Shri M P Shah Medical College Jamnagar
M B B S
Distt. Red Cross Society Bhawan
Honorary Medical Officer
SPMC, Bikaner
MBBS
Siddhivinayak Clinic
Lceh Gp
Super Specialist in Reproductive Endocrinology
K.M.D.H.C.
Consultant Diabetologist & Podiatrist
University of Newcastle
Graduate Diploma in Diabetes Care
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BILATERAL OVARIAN MASSES *Chief Complaints* 48 year old female presented with noticing mass per abdomen over a period of one year. Associated with abdominal discomfort. *History* Patient was case of previous one Caesarean section who presented with mass per abdomen for one year and abdominal discomfort . No bowel bladder disturbances. No history of distension of abdomen . No loss of weight. Patient was perimenopausal. *Vitals* Pulse 84/ min. BP 126/80 mmHg. *Physical Examination* Per abdomen there was mass palpable arising from pelvis arpund 26 weeks size of gravid uterus occupying hypogastric , right ileac fossa , right lumbar region and umbilical region. Vertical infra umbilical scar noted. No guarding / rigidity/ free fluid / tenderness Per speculum cervix vagina normal Per vaginal examination mass felt as felt in abdominal examination plus one more mass felt in pouch of Douglas around 8*8 cm. Appeared impacted in POD. *Investigations* CA 125 was 32. Ultraound showed bilateral ovarian masses Right side 18*15*10 cm and left side 9*8 cm. CECT abdopelvis showed same findings. *Diagnosis* Bilateral ovarian neoplasm *Management* Patient was taken for laparotomy and proceed. OT findings. Uterus normal size. Right side cystic mass around 20*18 cm. No surface excrescences. Capsule intact. No mural nodule. No solid areas noted. Left ovary normal. Left paraovarian cyst 8*8 cm with torsion along fallopian tube axis of two and half turns. No free fluid. Omentum, undersurface of diaphragm and liver normal. No palpable intra abdominal lymphadenopathy. TAH with Bilateral salpingo ovariotomy done.
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