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Endocrine q #1
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Author6 Posts
  #1

Serum electrolyte measurements for a 67 y.o. female show a sodium level of 118 mmol/L, potassium level of 6.0 mmol/L, chloride level of 95 mmol/L,carbon dioxide level of 21 mmol/L, and glucose level of 49 mg/dL. Her 8 AM serum cortisol concentration is 9 ng/mL. She has experienced malaise and has had a 10 kg weight loss over the past 4 months. An abdominal CT scan reveals bilaterally enlarged adrenal glands. A chest radiograph reveals a 6 cm perihilar mass on the right with prominent hilar lymphadenopathy. Which of the following conditions best accounts for these findings?

a) Meningococcemia

b) Pituitary adenoma

c) Amyloidosis

d) Metastatic Carcinoma

e) Ectopic Corticotropin Syndrome




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  #2

d) Metastatic Carcinoma


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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #3

d met from the lung cancer most likely

  #4

nodnod


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Great works are performed not by strength, but by perseverance.

  #5

D yes.

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  #6

Agree D







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