Tess Shared "Endocrine- Adrenal" - 8 Picmonics
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Endocrine- Adrenal
- 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
- Assessment
- Severe Symptoms
- Shock
- Interventions
- High-Dose Hydrocortisone
- Large Volumes of IV Fluid
- Insulin with Dextrose
- Kayexalate
- Loop or Thiazide Diuretics
- 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
- 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
- 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
- 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
- Mechanism
- Adrenal Glands
- Increased Aldosterone
- Aldosterone Escape Mechanism
- Clinical Findings
- No Significant Edema
- Hypertension
- Hypokalemic Metabolic Alkalosis
- Types
- Primary Hyperaldosteronism
- Secondary Hyperaldosteronism
- Pseudohyperaldosteronism
- 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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