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CRUSHING'S SYNDROME crushing syndrome pic (SIGNS AND STYMPTOMS…
CRUSHING'S SYNDROME 
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SIGNS AND STYMPTOMS
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Muscle weakness.
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DIAGNOSIS
LOW - DOSE DEXAMETHASONE SUPPRESSION TEST: dexamethsone at night, blood test for cortisol levels.
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24 HOUR URINARY FREE CORTISOL TEST: Urine will be collected over 24 hour period to test for cortisol levels.
PHYSICAL EXAMINATION: observe symptoms such as buffalo hump, stretch marks and bruises.
PATHOPHYSIOLOGY
When stimulated by ACTH, the adrenal gland produces cortisol and steroid hormone.
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TREATMENT
MANAGEMENT
To control and manage the function of the pituitary gland by replacing potassium by a diet containing high protein.
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DIET
MONITOR CALORIE INTAKE - Eat healthy to avoid weight gain as it is one of the symptoms of crushing’s syndrome,
AVOID DRINKING ALCOHOL - Associated with increasing levels of cortisol in the body,
MONITOR BLOOD SUGAR LEVELS - As crushing syndrome may result in high blood sugar,
Eat fruits and vegetables, whole grains and fish.
REDUCE SODIUM INTAKE - Since it may lead to high blood pressure, avoid eating food containing a lot of salt.
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SURGERY
POST - OPERATIVE CARE
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It may take longer to recover after open surgery - patient may be hospitalized for five to ten days and healing takes eight weeks.
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PRE- OPERATIVE CARE
Before the surgery the patient may be administered with medication to control symptoms of the tumor.
Patients with crushing syndrome will be administered with extra doses of cortisone a day before surgery.
Patients will also need to take dose of cortisol medication for a few months after surgery until adrenal gland is functioning.
Blood tests, medical evaluation, chest x-ray are collected and done before surgery.
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