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6 Cards in this Set

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

ACTH: Elevated
HD DST: Cortisol Suppressed