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āĻ•্āĻ˛িāĻ¨িāĻ•াāĻ˛_āĻ—োā§ŸেāĻ¨্āĻĻা_ā§¨

#āĻ•্āĻ˛িāĻ¨িāĻ•াāĻ˛_āĻ—োā§ŸেāĻ¨্āĻĻা_ā§¨đŸ‘¨‍⚕️👩đŸģ‍⚕️


āĻāĻ•āĻœāĻ¨ āĻ°োāĻ—ী #āĻĻুāĻ‡ āĻŽাāĻ¸ #āĻ•াāĻļিāĻ° đŸ¤ĸāĻāĻŦং āĻœāĻ°েāĻ° 🤒history āĻ¨িā§Ÿে āĻ†āĻĒāĻ¨াāĻ° āĻ•াāĻ›ে āĻāĻ¸ে āĻŦāĻ˛āĻ˛ো,

"āĻ†āĻœ āĻ•াāĻ˛ āĻ†āĻŽাāĻ° āĻ–ুāĻŦ āĻŽাāĻĨা āĻ˜ুāĻ°াā§Ÿ!āĻšāĻ াāĻ¤ āĻ•āĻ°ে āĻŦāĻ¸া āĻĨেāĻ•ে āĻ‰āĻ āĻ˛ে āĻĻুāĻ¨িā§Ÿা #āĻ…āĻ¨্āĻ§āĻ•াāĻ° āĻšā§Ÿে āĻ†āĻ¸ে!āĻāĻ¤ো āĻĒাāĻ¨ি āĻ–াāĻ‡ āĻ¤াāĻ°āĻĒāĻ° āĻ“ āĻĒাāĻ¨ি #āĻĒিāĻĒাāĻ¸া āĻ˛াāĻ—ে!āĻ†āĻ° #āĻĒ্āĻ°āĻ¸াāĻŦ āĻ“ āĻ˜āĻ¨ āĻ˜āĻ¨ āĻšā§Ÿ!āĻ­ীāĻˇāĻ¨ āĻĻুāĻ°্āĻŦāĻ˛ āĻ˛াāĻ—ে āĻ¸্āĻ¯াāĻ°!āĻāĻ–āĻ¨ āĻ†āĻŽি āĻ•ি āĻ•āĻ°ি?"

āĻ†āĻĒāĻ¨ি āĻ¤াāĻ° āĻĒ্āĻ°েāĻ¸াāĻ° āĻŽাāĻĒāĻ˛েāĻ¨ āĻĻেāĻ–āĻ˛েāĻ¨,āĻĒ্āĻ°েāĻ¸াāĻ° āĻ˛ো!
āĻ—াā§Ÿে āĻ•িāĻ›ু āĻ•িāĻ›ু āĻœাā§ŸāĻ—াā§Ÿ #āĻĄিāĻ¸্āĻ•াāĻ˛াāĻ°েāĻļāĻ¨ āĻ†āĻ›ে!
āĻ†āĻ—েāĻ° āĻāĻ•āĻŸা āĻ°িāĻĒোāĻ°্āĻŸে āĻĻেāĻ–āĻ˛েāĻ¨ āĻ°োāĻ—ীāĻ° #āĻ¸োāĻĄিā§ŸাāĻŽ āĻ˛েāĻ­েāĻ˛ āĻ•āĻŽ,āĻ•িāĻ¨্āĻ¤ু #āĻĒāĻŸাāĻļিā§ŸাāĻŽ āĻ˛েāĻ­েāĻ˛ āĻŦেāĻļি!?
āĻ•ি āĻšāĻ¤ে āĻĒাāĻ°ে #Diagnosis?❤️🤔đŸ•ĩđŸŊ‍♂️👨đŸģ‍⚕️👩đŸģ‍⚕️

#Solution 👩đŸģ‍⚕️❤️👨🏾‍⚕️


This is a case of #Disseminated_TB affecting #Adrenal gland!causing #Addison disease!
adrenal gland destruction āĻāĻ° āĻĢāĻ˛ে,#aldosterone āĻāĻŦং #cortisol āĻ¤ৈāĻ°ি āĻšāĻŦে āĻ¨া!āĻ¤াāĻ‡ sodium reabsorption āĻšāĻŦে āĻ¨া,āĻ¸াāĻĨে āĻ¸াāĻĨে āĻĒাāĻ¨িāĻ“!āĻ¤াāĻ‡ #hypovolemia āĻāĻŦং #hyponatremia āĻšāĻŦে!

hypovolemia āĻāĻ° āĻœāĻ¨্āĻ¯ #postural_hypotension āĻšāĻŦে,āĻ…āĻ°্āĻĨাāĻ¤ āĻšāĻ াāĻ¤ āĻ•āĻ°ে āĻŦāĻ¸া āĻĨেāĻ•ে āĻĻাā§œাāĻ˛ে brain blood supply āĻ¤āĻ¤āĻŸা āĻĒাāĻŦেāĻ¨া!āĻ¤াāĻ‡ āĻŽাāĻĨা āĻ˜ুāĻ°āĻŦে āĻ†āĻ° āĻ¸āĻŦ āĻ•িāĻ›ু āĻ…āĻ¨্āĻ§āĻ•াāĻ° āĻŽāĻ¨ে āĻšāĻŦে!

āĻāĻĻিāĻ•ে #ACTH āĻŦেāĻļি secretion āĻšāĻŦে āĻ¯া melanocyte stimulate āĻ•āĻ°āĻŦে āĻ¯েāĻŸাāĻ° āĻœāĻ¨্āĻ¯ āĻĒিāĻ—āĻŽেāĻ¨্āĻŸ āĻĒাāĻ“ā§Ÿা āĻ¯াāĻŦে body āĻ¤ে!āĻ†āĻ° aldosterone āĻ¯েāĻšেāĻ¤ু āĻĒāĻŸাāĻļিā§ŸাāĻŽ āĻĻেāĻš āĻĨেāĻ•ে āĻŦেā§œ āĻ•āĻ°ে āĻĻেā§Ÿ!āĻ¤াāĻ‡ āĻ¤াāĻ° absent āĻ āĻĒāĻŸাāĻ¸িā§ŸাāĻŽ āĻŦেā§œে āĻ¯াāĻŦে body āĻ¤ে!

#Treatment 👨đŸģ‍⚕️

Anti TB Drug and
supplementation of #steroid and #minerelocorticoids👨đŸģ‍⚕️👨‍⚕️👨đŸģ‍⚕️👩đŸģ‍⚕️


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