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Topics:
Endocrinology
•
Adrenal Disorders
How does a mildly elevated CBG (cortisol binding globulin) level affect the interpretation of the 1mg overnight dexamethasone suppression test results?
Related Questions
What is the role of oral therapy for hypercortisolism diagnosed based on unsuppressed cortisol after 1mg dexamethasone suppression test in a normoglycemic patient who also has negative adrenal imaging?
Is a baseline cortisol at 0 minutes necessary to do as part of an ACTH stimulation test when performing the test in late morning or in the afternoon?
How do you manage insomnia in a patient with Cushing syndrome, considering that elevated nighttime cortisol levels may contribute to their sleep disturbances?
How do you approach checking an aldosterone to renin ratio in an outpatient with hypertension and hypokalemia that is difficult to correct with oral potassium replacement?
Under what circumstances would you administer subcutaneous hydrocortisone instead of IV hydrocortisone to a patient with adrenal insufficiency?
Would you start a mineralocorticoid receptor antagonist in patients with unilateral primary aldosteronism while they are awaiting adrenalectomy?
Do you recommend combined baseline cortisol and DHEA-S testing to improve the efficiency and accuracy of adrenal insufficiency diagnosis?
How do we decide between Gallium-DOTATATE PET/CT and MIBG scans when evaluating a patient for suspected pheochromocytoma?
How do you approach the evaluation of adrenal insufficiency in patients with chronic opioid use who present with fatigue and hypotension but have normal morning cortisol levels?
How do you counsel younger patients regarding long-term radiologic monitoring of non-functional adrenal adenomas?
