the adrenals Flashcards
1
Q
zona fasciculata produces what?
A
CORTISOL
2
Q
how can you differentiate cushing syndrome from pseudo cushing?
A
insulin stress test
3
Q
cushings syndrome investigation
A
low dose dexamethasone suppression test
dexa - exogenous steroid
so should suppress acth
<50 48hour
4
Q
adrenal crisis?
A
dehydration
shock collapse
low sodium
low glucose
5
Q
investigation for adrenal insufficiency
9am serum cortisol
A
less than 500nmol/l
glucose
FBC U+Es Na and K
short synACThen test
specialist Ix
adrenal imaging
pituitary imaging
