CIS Adrenal (unrein) Flashcards
1
Q
what is the most common form of adrenal insufficiency
A
latrogenic - exogenous steroids that suppress the adrenal pituitary axis
pt’ is adrenal insufficient for one year after steroids
2
Q
what are the hallmarks of adrenal insufficiency
A
hyponatremia hypoglycemia hyperkalemia eosinophilia mild-pre-renal azotemia acidosis
3
Q
what will the levels of ACTH, cortisol be with secondary adrenal insufficiency
A
low ACTH, no hyperpigmentation and low cortisol
4
Q
what will low dose dex suppression test suppress?
A
hyperplasia
5
Q
what will high dose suppression test suppress
A
suppresses Adenoma
6
Q
what is not suppresed by both high and low doses of dexamethasone
A
Ectopic cortisol
7
Q
what lab values are important to check prior to starting thyroid hormone therapy
A
serum sodium, potassium , glucose
