842 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... : • Suspected Cushing ... weakness, refractory hypertension ... ARUPConsult @ARUPLabs #Cushing ... diagnosis #algorithm #endocrinology
Clinical Effects of Large and Small Pituitary Tumours
Local complications - Headache, Visual field defect, Disconnection hyperprolactinaemia,
ring size • Cushing's ... Bruising, Myopathy, Hypertension ... Lethargy, Postural hypotension ... Symptoms #Diagnosis #Endocrinology
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
hypokalemia and/or hypertension ... Zona Fasciculata: Cushing ... Diagnosis #workup #endocrinology
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary Hypertension ... : Resistant hypertension ... persistence of hypertension ... Vasculitis • Endocrinologic ... Hypercalcemia, Cushing's
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Cushing's Syndrome ... 5) Secondary hypertension ... stimulation 2) Cushing's ... skull • In Cushing's ... signs #symptoms #endocrinology
Cushing Syndrome - Hypercortisolism Differential Diagnosis Algorithm

#Cushings #Syndrome #Differential #Diagnosis #Algorithm #disease #endocrinology #Hypercortisolism
Cushing Syndrome ... Diagnosis Algorithm #Cushings ... Algorithm #disease #endocrinology
Cushing's Reflex - Pathophysiology
HYPERTENSION with a reflex BRADYCARDIA
 → ↑ ICP 
 → ↓ CBF
 →
Cushing's Reflex ... Pathophysiology HYPERTENSION ... response → ↓ HR #Cushings
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing ... pituitary adenoma (Cushing ... Hypercortisolism #Cushings ... Diagnosis #Algorithm #endocrinology
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
with Presumed Cushing ... Syndrome #Cushings
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings
Moon facies LR +1.6
Central obesity LR +3.0
Generalized obesity
Cushing Syndrome ... SatyaPatelMD #Cushings ... PhysicalExam #diagnosis #endocrinology