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Topics:
Endocrinology
•
Adrenal Disorders
Would you expect an oral sodium loading test to be positive in secondary hyperaldosteronism or pseudohyperaldosteronism?
Related Questions
How does contralateral suppression of more than 50% with cosyntropin during adrenal venous sampling influence your decision to recommend adrenalectomy in patients with primary aldosteronism?
What is your approach to differentiating pseudo-Cushing's state from Cushing's syndrome?
Is it possible to have undetectable cortisol levels in secondary adrenal insufficiency?
In your practice, when do you opt to treat unilateral primary hyperaldosteronism medically rather than surgically?
What evaluation do you do in patients with hypertension and persistently elevated aldosterone/renin ratio (over 20) but without an elevated aldosterone level (under 10 ng/dL)?
What 60 minute cortisol threshold value do you use for diagnosis of adrenal insufficiency after ACTH stimulation?
In what clinical scenarios should we use the 2-day 2mg DST instead of the 1mg overnight DST for screening of Cushing syndrome?
How do you personalize glucocorticoid dosing for patients with adrenal insufficiency during non-standard stress events, such as unexpected major life changes or unusual physical exertion?
What strategies do you use to prevent overcorrection of serum sodium in patients with severe hyponatremia and adrenal insufficiency when initiating glucocorticoid therapy?
What further work-up (if any) should be considered in patients with pituitary microadenoma and stigmata of Cushing's disease but low ACTH and repeatedly normal plasma, urinary, and salivary cortisol levels?
