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)
2
Q
Investigations for Addisons
A
- 9am cortisol
- Short synacthen test
- ACTH levels
- Imaging (adrenals vs brain)
3
Q
Investigations for Acromegaly
A
- IGF1 level
- OGTT (check IGF1 pre/post)
- MRI pituitary
4
Q
Treatment for Addisons
A
- Hydrocortisone 20/10/10
5
Q
Treatment for Acromegaly
A
- Transphenoidal surgery
- Octreotide/lanreotide
6
Q
Treatment for Cushings
A
- Transphenoidal surgery