Hirsutism Flashcards
1
Q
dx? lab? tx?
HPI: hirsutism + glucose intolerance
PE: HTN, buffalo hump, central obesity
A
Cushing (pituitary adenoma)
Dex suppression test (no response to low, yes response to high)
Surgical
2
Q
dx? lab? tx?
HPI: hirsutism + rapid-onset virilism
PE: abd mass
A
Adrenal tumor
DHEA-S
surgical
3
Q
dx? lab? tx?
HPI: hirsutism + ambiguous genitalia + family hx
PE: hypotension
A
CAH (21-hydroxylase def)
high 17-OHprogesterone
replace cortisol and mineralocorticoid
4
Q
dx? lab? tx?
HPI: hirsutism + onset since menarche
PE: rarely virilization
A
PCOS
high LH:FSH
OCP
5
Q
dx? lab? tx?
HPI: rapid onset hirsutism
PE: virilism, adnexal mass
A
sertoli-leydig cell tumor
high testosterone
surgical
