Lim Forum Elite

Topics: 62 Posts: 210
| | 09/05/06 - 04:56 PM  
 
|   #1 |
A middle-aged woman presents to her physician complaining of weight gain and abnormal menstrual cycles. She reports feeling depressed and weak. Laboratory testing reveals normal TSH and thyroid hormone levels, and elevated cortisol secretion. If the patient has adrenal hyperfunction, which of the following may also be present? A. Enhanced glucose uptake B. Hirsutism C. Hypocalcemia D. Hypoglycemia E. Hypotension adrenal hyperfunction is a diagnostic name that you can write down in a chart? what disease does she suffer from?
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| docarchana Forum Guru
Topics: 70 Posts: 515
| | 09/05/06 - 04:57 PM  
 
|   #2 |
i think B - cushing
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| Lim Forum Elite

Topics: 62 Posts: 210
| | 09/05/06 - 05:05 PM  
 
|   #3 |
thanks docarchana. yes,you're right. if they don't give me moon facies,truncal obesity,buffalo hump...i'm confused... ;( (i guess) cushing's syndrome d/t Adrenocortical adenoma? she didn't talk about her drug(iatrogenic). she doesn't have hyperpigmentation d/t Cushing's disease.
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| docarchana Forum Guru
Topics: 70 Posts: 515
| | 09/05/06 - 05:23 PM  
 
|   #4 |
lim, hyperpigmentation is a feature of addisons (hypocortisolism)
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| docarchana Forum Guru
Topics: 70 Posts: 515
| | 09/05/06 - 05:24 PM  
 
|   #5 |
ur also right. its also in cushing disease due to increased ACTH.
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| Lim Forum Elite

Topics: 62 Posts: 210
| | 09/05/06 - 05:54 PM  
 
|   #6 |
oopsy...thanks... when ACTH induced Cushing's syndrome.(primary pituitary adenoma) ACTH isn't enough to develop hyperpigmentation?? kinda desperate high level of ACTH d/t Addison's disease can induce hyperpigmentation? suddenly all things're confusing.
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