Adrenal insufficiency secondary to adrenal hemorrhage

Article Abstract:

Nineteen cases are described of patients with adrenal hemorrhage, which was confirmed by hormone measurements and computed tomography, (CT) an X-ray method that provides detailed images of structures in a selected plane of tissue. Factors that were shown to cause adrenal hemorrhage included treatment with the anticoagulant agent heparin, surgery, hypotension or low blood pressure, and sepsis or bacterial infection of the blood. Heparin-associated thrombocytopenia, or an abnormal decrease in the number of blood platelets (cells involved in clotting) resulting from the use of heparin, may also cause adrenal hemorrhage. Adrenal hemorrhage may resemble other diseases and early diagnosis of this disorder is difficult. Early signs of adrenal hemorrhage include fever, abdominal or flank pain, nausea, vomiting, tachycardia or rapid heart rate, hypotension, leukocytosis or an increase in number of white blood cells, and hyponatremia or low blood sodium. Enlargement of the adrenal gland and the deposition of calcium in the adrenal gland may develop later in the course of the disease. Adrenal hemorrhage should be confirmed by CT scan and by stimulation with cosyntropin, a synthetic hormone used to test for insufficiency or impaired function of the adrenal gland. Patients with adrenal hemorrhage resulting from heparin use should be investigated for the presence of thrombocytopenia and antiplatelet antibodies, which are abnormal immune proteins that specifically bind to platelets. (Consumer Summary produced by Reliance Medical Information, Inc.)

Causes of, Hemorrhage, Adrenal glands, Adrenal gland diseases

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Dietary patterns in school meals in secondary schools: a case study using data from cafeteria sales in Birmingham

Article Abstract:

The study focused on the food which was sold in 70 secondary school dining rooms over the space of one year to determine the food intake patterns of the pupils. Five food groups were studied: chips; potatoes, vegetables and salad; main meals; cakes and milk. Chips were bought by 48% of pupils, main meals by 61%, milk by 17%, cakes by 46% and vegetables or salad by 23%. Milk and main meals were more likely to be sold in boys schools. Some schools had only 11% of pupils eating chips while others had 74% and it would be useful for health promotion purposes to find out why this is.

High school students, Surveys, Food and nutrition, School food services, School lunchrooms, cafeterias, etc., Cafeterias

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Recognizing Aneurysmal Subarachnoid Hemorrhage

Article Abstract:

The survival rate of patients diagnosed with Aneurysmal subarachnoid hemorrhages (SAH) is poor. Evidence indicates genetics and acquired or environmental factors play a role in the development of SAH. Symptoms, diagnosis, treatment and alternative surgical interventions are discussed with emphasis on prompt diagnosis to lesson the devastation of the disease.

Care and treatment, Diagnosis, Aneurysms, Aneurysm, Intracranial aneurysms, Cerebral aneurysm

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