The Adrenals Flashcards
What hormone is secreted by the anterior pituitary gland that controls the release of hormones within the gland?
Adrenocorticotropic hormone
A patient has excessive amounts of aldosterone and presents with hypertension, excessive thirst, excessive urination and will have low levels of potassium in the blood. What is this?
Conn’s
A patient presents with obesity, thinning arms and legs, hypertension, hyperglycemia and severe fatigue. There is an overproduction of cortisol. What is likely the case?
Cushing’s
Hormone produced by the cortex?
Aldosterone (BP by controlling the amount of salt and water in the body)
Androgens
Cortisol (controls body’s use of fats, carbs and proteins)
Hormone produced by the medulla?
Epinephrine
Norepinephrine
Blood supply of the adrenals?
Inferior phrenic, aorta and renals
Pheochromocytomas arise from the:
medulla
A patient comes in with hypertension, anxiety, tremors, headaches and excessive sweating. Upon examination, a hypoechoic mass in the adrenal gland area is noted. What is this likely to be?
Pheochromocytoma
If a patient has adrenal carcinoma or metastases, what would be the clinical presentation?
Similar to Cushing’s syndrome
Mets often comes from lung, breast, colon, kidneys or skin
Most common pediatric mass? When does it present? What does it appear as?
Neuroblastoma
Before 5yrs
Hypoechoic mass with calcifications – often spreads and metastasizes by discovery
A 4 year old patient presents with abdominal enlargement and pain. What could be the diagnosis?
Neuroblastoma
The left adrenal gland drains into the:
LRV
Which of the following best describes the location of the right adrenal gland?
Posterior and lateral to the IVC
The most common sonographic appearance of a pheochromocytoma is:
Hyperechoic mass
