Case Study in Nursing

8060 Words Jan 17th, 2011 33 Pages
INTRODUCTION
Congenital Adrenal Hyperplasia (CAH) refers to a complex series of rare but well-studied enzymatic errors of metabolism with deficient levels of different enzymes involved in the synthesis of cortisol (hydrocortisone).

CAH comprises a group of disorders resulting from defective synthesis of adrenal corticosteroids. Lack of glucocorticoids, especially cortisol, causes various kinds of metabolic problems. The response to low levels of cortisol is increased production of corticotropin (ACTH). Lack of mineralocorticoids, primarily aldosterone (steroid hormone), causes sodium and water imbalance which, in some cases, can be fatal. The various forms of CAH represent defects in the different stages of corticosteroid synthesis,
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There were two folds of skin coming from the top of the penis and encircling it on either side. These were somewhat loose and resembled labia majora.”
De Crecchio then described the internal organs, which included a normal vagina, uterus, tubes, and ovaries.
It was of the greatest importance to determine the habits, tendencies, passions, and general character of this individual... I was determined to get as complete a story as possible, determined to get at the base of the facts and to avoid undue exaggeration which was rampant in the conversation of many of the people present at the time of the dissection.
He interviewed many people and satisfied himself that Joseph Marzo "conducted himself within the sexual area exclusively as a male, "even to the point of contracting the "French disease" on two occasions. The cause of death was another in a series of episodes of vomiting and diarrhea.[5]
This account was translated by Alfred Bongiovanni from De Crecchio (Soprauncaso di apparenzivirili in una donna. Morgagni 7:154-188, 1865) in 1963 for an article in the New England Journal of Medicine.
Currently due to the impressive advocacy of CARES Foundation, all 50 states in the United States and over 40 countries EVERY child born is screened for CAH at birth. This life saving screen will detect elevated levels of 17-hydroxy-progesterone (17-OHP). Detecting high levels of 17-OHP enables early detection of CAH. Newborns detected early enough can be placed on

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