PPT-A 59 y/o man with bilateral adrenal mass

Problem list Abdominal pain Flank pain LBP Weight loss Headache Ataxia NV Bilateral adrenal mass Adrenal insufficiency Cerebellar mass Old MI HF Anorexia weakness diagnostic approach. Dalal. . Abdelgadir. R2 . pediatics. Objectives . To review normal physiology of adrenal gland and glucocorticoids. Normal adrenal response to stress. Adrenal insufficiency in critical illness: . pathophysiology. Shedding Light on an Ambiguous Subject. Grand Rounds: September 25, 2015. Stephanie Gibson, MD Lisa Knight, MD. PGY-3 Assistant Professor of Clinical Pediatrics USC Pediatric Endocrinology. The most common form of Congenital Adrenal Hyperplasia (CAH) results from a deficiency of which of the following?. \r\r\f\n  \r\f\r  \r Adrenal hormones, such as cortisol \r\r maintain b . Hyperfunction. (. Hyperadrenalism. ). 1. . Hypercortisolism. (Cushing Syndrome) . - In clinical practice, most cases are caused by the administration of exogenous . glucocorticoids. (Iatrogenic). By: . Shifaa. ’ . Qa’qa. ’. adrenal glands:. cortex . medulla. ADRENOCORTICAL. HYPERFUNCTION. (HYPERADRENALISM). Cushing syndrome. hyperaldosteronism. . adrenogenital. or . virilizing. . syndromes. THE EVALUATION OF INCIDENTALLY DISCOVERED ADRENAL MASSES ENDOCRINE PRACTICE Vol 25 No. 2 February 2019 The prevalence of incidentally discovered adrenal masses (also referred to as adrenal Teaching . Neuro. Images. Neurology. Resident and Fellow Section. © 2017 American Academy of Neurology. Vignette. An 82-year-old man with atrial fibrillation, non-adherent to Rivaroxaban, presented with sudden bilateral ptosis. Adrenal medulla structure and function of medullary hormones:. 1. . Catecholamines. :. Most of the catecholamine output in . the adrenal vein is epinephrine. . . Norepinephrine . enters . the circulation . Recommended screening for all incidentalomas. Test. Cushing's syndrome. Cushing's syndrome. 1 mg overnight dexamethasone suppression test. Pheochromocytoma. Pheochromocytoma. 24-hour urine collection for fractionated metanephrines and catecholamines. The adrenal glands are . small. , . yellowish. organs that rest on the upper poles of the kidneys in the . Gerota. fascia. . The right adrenal gland is pyramidal, whereas the left one is more . crescentic. masses. Dr. Ahmadi. 99.12.18. Problem List:. HTN. Hypokalemia. High ARR. Bilateral Adrenal masses(3cm). High . cortisol . level (. positive. . overnight. dexamethasone suppression test . ). Suppressed ACTH. Adrenal glands can be affected by a variety of lesions. Adrenal lesions can either be primary, of adrenal origin, or secondary to other pathologies. Primary adrenal lesions can further be either of cortical or medullary origin. Functioning adrenal lesions can also give clues to the histologic diagnosis and direct workup. Over the years, various imaging techniques have been developed that have increased diagnostic accuracy and helped in better characterization of adrenal lesions non-invasively. In the first part of the two part series, we review adrenal imaging techniques and adrenal cortical tumors such as adenomas, adrenocortical tumors, adrenal hyperplasia and oncocytomas. Histoplasmosis. Organism: . Histoplasma. . capsulatum. . Most common fungal infection involving adrenal glands. More prevalent in immunocompromised patients. AIDS. Transplant recipients. Hematologic malignancies. Dr. Tariq Aladily. tnaladily@ju.edu.jo. Department of Pathology. The University of Jordan. Second semester 2021/2022. Hypercortisolism . AKA Cushing syndrome. Can be exogenous (iatrogenic) or endogenous (less common).