PPT-IN THE NAME OF GOD Bilateral Adrenal

masses Dr Ahmadi 991218 Problem List HTN Hypokalemia High ARR Bilateral Adrenal masses3cm High cortisol level positive overnight dexamethasone suppression test Suppressed ACTH. Hannes. Vogel. hvogel@stanford.edu. 650-723-9672. Learning Objectives:. 1. . Describe the . histogenesis. and normal anatomy of the pituitary gland. . 2. Itemize the distinguishing features of normal and neoplastic pituitary parenchyma. . Adrenal . glands. . are. . two. . pyramid. -. shaped. . structures. . that. sit on top of . the. . kidneys. , . one. . gland. . each. . kidney. .. Adrenal . glands. . release. . hormones. Haley . Minnehan. , MD. Adrenal Insufficiency Definition. A disease state that is caused by . lack of glucocorticoids(GC) and/or . mineralcorticoids. (MC) . by interruption at any level of the hypothalamus-pituitary-adrenal axis.. . Hyperfunction. (. Hyperadrenalism. ). 1. . Hypercortisolism. (Cushing Syndrome) . - In clinical practice, most cases are caused by the administration of exogenous . glucocorticoids. (Iatrogenic). are located on top of each kidney.. Adrenal Glands. Copyright © 2014 John Wiley & Sons, Inc. All rights reserved.. Cortex . (outer) – bulk of gland (75%); glandular tissue. Medulla . (inner) – nervous tissue; SNS. Disorders of the Adrenal Cortex. Hyperaldosteronism: . . Hyperaldosteronism . may be . secondary to stimulation . of the renin-angiotensin system from renal . artery stenosis . and to low-flow states such as congestive heart . The adrenal gland is one of the body’s main endocrine glands.. It consists of a . cortex . and. medulla.. The cortex has . three layers . which each secrete a . different. class of steroid.. The . 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. Erin Pein, RN-BSN. What is Adrenal Insufficiency?. AI is a medical condition in which the adrenal glands cannot produce glucocorticoid hormone Cortisol. Cortisol is needed for the body to maintain normal energy supply, fluid and electrolyte balance, blood pressure, blood sugar and the body’s reaction to physical stress such as illness or injury.. . M. . Luaibi. Adrenal GLANDs. 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. 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). Problem list:. Abdominal pain . Flank pain. LBP. Weight loss. Headache. Ataxia. N/V. Bilateral adrenal mass. Adrenal insufficiency. Cerebellar mass. Old MI. HF. Anorexia. weakness. diagnostic approach.