cushing's disease 1/6 Flashcards

1
Q

What are symptoms of Cushing’s disease

A

hallmark:
- weight gain
- purple striae, pink or purple stretch marks
- ruddy complexion
other:
- Fatigue, depression, emotional lability, mental changes
- Excessive hair growth
- Bruising
- Proximal muscle weakness
- hypertension

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2
Q

What is and what causes cushing’s disease?

A

elevated cortisol levels due to

  • Endogenous over production of cortisol
  • Exogneous use of corticosteroids
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3
Q

How is Cushing’s disease diagnosed?

A

Laboratory analysis of cortisol levels in urine, saliva, or blood

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4
Q

most common endogenous etiology of cushing’s disease?

A
  • benign tumor in pituitary gland- increase in the secretion of adrenocorticotropic hormone ACTH causes increased cortisol production
  • benign tumor in adrenal gland - increase level cortisol
    other: malignancy, genetics
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5
Q

most common exogenous etiology of cushing’s disease?

A

High doses of glucocorticoids for inflammatory conditions

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6
Q

Where does weight gain a occur in cushing’s disease?

A

face - moon face
upper back - buffalo hump
supraclavicular
midsection - central obesity

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7
Q

cushing’s disease gender preference and age of onset

A

female

onset 25-40year old

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8
Q

what is cortisol

A

Glucocorticoid hormone produced by adrenal cortex of kidneys

Assists in regulation of cardiovascular function, metabolism, and main stress hormone

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