MEH - Adrenal Disorders Flashcards Preview

CJ: UoL Medicine Semester Two (ESA2) > MEH - Adrenal Disorders > Flashcards

Flashcards in MEH - Adrenal Disorders Deck (7)
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1
Q

What methods can be used to do a radiological assessment of adrenal disease?

A

CT scan, MRI scan, MIBG scan, PET scan

2
Q

Give some causes of primary adrenal failure

A

Autoimmune, infection (TB, fungal, AIDs), infiltration, malignancy, genetic, vascular, iatrogenic

3
Q

Why must steroids be stopped slowly?

A

In patients on long-term steroids, ACTH is suppressed. Abrupt withdrawal means they may go into a hypo-adrenal crisis due to lack of ACTH

4
Q

How are adrenal tumours removed?

A

Laparoscopic surgery, although large ones need open surgery

5
Q

What is congenital adrenal hyperplasia?

A

Deficiency in 21-hydroxylase enzyme, leading to low cortisol and aldosterone but high androgens.

6
Q

What is a paraganglioma?

A

An extra-adrenal tumour of chromaffin tissue origin

7
Q

Which radiological investigations should be done for phaeochromocytoma and paraganglioma?

A

MRI, PET, MIBG

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