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6 Cards in this Set
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DDX for Uncontrolled HTN
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Pheo
Conn's Syndrome RAS Cushing's Syndrom |
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Screening Tests for Uncontrolled HTN (7)
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Urine metanephrines
Urine VMA Serum Norepi Serum Epi Aldosterone Renin Urine Cortisol -24 hr free cortisol |
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What is Low Dose Dexamethasone Test?
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Give Low Dose Dexamethasone
Persistently Elevated Cortisol-->Cushing's Syndrome |
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Pseudo-Cushing's Syndrome
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Elevated Cortisol because of chronic alcoholism or depression
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Cushing's Syndrome Causes
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Pituitary Adenoma (bilateral adrenal hyperplasia) (Cushing's Disease)
Adrenal Adenoma Adrenal Carcinoma Ectopic Carcinoma (bronchial carcinoma) |
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How to test for Cushing's Disease?
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check ACTH and perform high dose dexamethasone suppression test
ACTH: Elevated HD DST: Cortisol Suppressed |
