Endocrine Flashcards

1
Q

Investigations for Cushings

A
  • 24hr free cortisol
  • Dexamethasone suppression test
  • Serum ACTH
  • If ACTH high, for high dose dex suppression test
  • Imaging (adrenals vs brain)
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2
Q

Investigations for Addisons

A
  • 9am cortisol
  • Short synacthen test
  • ACTH levels
  • Imaging (adrenals vs brain)
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3
Q

Investigations for Acromegaly

A
  • IGF1 level
  • OGTT (check IGF1 pre/post)
  • MRI pituitary
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4
Q

Treatment for Addisons

A
  • Hydrocortisone 20/10/10
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5
Q

Treatment for Acromegaly

A
  • Transphenoidal surgery
  • Octreotide/lanreotide
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6
Q

Treatment for Cushings

A
  • Transphenoidal surgery
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