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Tess Shared "Endocrine- Adrenal" - 8 Picmonics

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Endocrine- Adrenal

Addison's Disease
Mechanism
Chronic 1° Adrenal Insufficiency
Atrophy
Destruction
Symptoms
Deficiency In Cortisol And Aldosterone
Skin Hyperpigmentation
Increased POMC
Hypotension
Hyperkalemia
Acidosis
Addisonian Crisis
Diagnosis
ACTH (Cosyntropin) Stimulation Test
Treatment
Exogenous Cortisol
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2 mins
Addisonian Crisis
Assessment
Severe Symptoms
Shock
Interventions
High-Dose Hydrocortisone
Large Volumes of IV Fluid
Insulin with Dextrose
Kayexalate
Loop or Thiazide Diuretics
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2 mins
Cushing's Syndrome Characteristics
More Common in Women
Exogenous Etiologies
Glucocorticoids
Endogenous Etiologies
Decreased ACTH
Primary Adrenal Disease
Increased ACTH
Pituitary Adenoma (Cushing's Disease)
Paraneoplastic: Small Cell Carcinoma
CRF-releasing Tumors
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2 mins
Cushing's Syndrome Symptoms And Diagnosis
Symptoms/Findings
Osteoporosis
Amenorrhea
Truncal Obesity
Skin Changes
Buffalo Hump
Immune Suppression
Moon Facies
Hypertension
Decreased Insulin Sensitivity
Diagnosis
24-hour urine free Cortisol
Dexamethasone Suppression Test
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2 mins
Cushing's Syndrome Assessment
Assessment
Increased Cortisol Levels
Truncal Obesity
Purple Abdominal Striae
Buffalo Hump
Decreased Bone Density
Moon Face
Thinning Skin
Hyperglycemia
Hypertension
Considerations
Long Term Glucocorticoid Use
Immunosuppression
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2 mins
Syndrome Of Apparent Mineralocorticoid Excess (SAME)
Pathophysiology
11 Beta-Hydroxysteroid Dehydrogenase Deficiency
Elevated Cortisol
Low Renin
Low Aldosterone
Causes
Autosomal-Recessive
Licorice (glycyrrhetinic acid) Ingestion
Signs & Symptoms
Hypertension
Hypokalemia
Metabolic Alkalosis
Treatment
Potassium-Sparing Diuretics
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4 mins
Hyperaldosteronism Overview
Mechanism
Adrenal Glands
Increased Aldosterone
Aldosterone Escape Mechanism
Clinical Findings
No Significant Edema
Hypertension
Hypokalemic Metabolic Alkalosis
Types
Primary Hyperaldosteronism
Secondary Hyperaldosteronism
Pseudohyperaldosteronism
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3 mins
Pheochromocytoma
Cause/Mechanism
Adrenal Medulla Tumor
Increased Catecholamines
Assessment
Episodic Hypertension
Diaphoresis
Abdominal or Chest Pain
Interventions
Surgery
Antihypertensives
Phenoxybenzamine
Metyrosine (Demser)
Considerations
Do Not Palpate Abdomen
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3 mins

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Tess Shared Endocrine- Adrenal - 8 Picmonics