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Author6 Posts
  #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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  #2

i think B - cushing

  #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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  #4

lim, hyperpigmentation is a feature of addisons (hypocortisolism)

  #5

ur also right. its also in cushing disease due to increased ACTH.

  #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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