Cushings Flashcards
(9 cards)
Define cushings
Associated with excess cortisol production
Pathophysiology of pituitary dependant form
Benign tumour of gland results in excessive adrenocorticotrphic hormone production
Leads to increased cortisol production
Pathophysiology of adrenal dependant form
Associated with functional adenomas or adenocarcinomas of adrenal gland
Results in excessive cortisol production
What condition may be secondary to cushings and why
D.mellitus
Cortisol regulates glucose metabolism during stressful periods
Excessive hormone production leads to hyperglycaemia
Which is the most common form
Pituitary dependant
Who is most affected
Middle age dogs
Risk factors (2)
Excessive admin of corticosteroids
Prolonged high stress
Clinical signs (8)
PUPD Involuntary night urination Increased hunger Obesity Distended abdomen Skin hyperpigmentation Flank alopecia
Diagnosis (5)
Hx/cs/exam Low/high DDST ACTH stim Abdominal ultrasound (adrenal) MRI/CT of pituitary