66y.o female came to ER with agitation, restlessness and poor sleep. decrease weight (6kg) o/e hypertensive plethoric face. Labs. Hypernatremia, hypokalemia others normal. What is the most likely diagnosis?
سؤال مجاني 2 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
المصادر مختلفة. ملفات الدفعة فيها إجابتين، وما نرجّح وحدة على الثانية. سبب كل وحدة في الشرح تحت:
- إجابة: A. Adrenal mass
- إجابة ثانية: B. Cushing syndrome
Hypertension, plethoric face, hypernatremia/hypokalemia and sleep disturbance/agitation fit adrenal hormone excess. Cushing syndrome usually causes weight gain; the weight loss points to an adrenal tumour (adrenal carcinoma is listed with weight loss), which is why the key is adrenal mass. The recalled stem is unreliable: the old bank says the student was unsure whether weight was lost or gained. If gained, Cushing syndrome (B) would be the answer.
ليش كل خيار صح أو غلط
-
A
ليش صح
Supported by the Adrenal disorders lecture (incidentaloma section): adrenal carcinoma is listed with weight loss, which matches her 6 kg loss.
✓ Adrenal disorders (2).pdf · p. 17 -
B
ليش صح
Supported by the Cushing section of Adrenal disorders: hypernatremia and hypokalemia are listed among the general laboratory findings of Cushing syndrome.
✓ Adrenal disorders (2).pdf · p. 9
- المصدر
- Adrenal disorders (2).pdf · p. 17
Adrenal disorders (2).pdf · p. 9
Adrenal disorders (2).pdf · p. 8 - المحاضرة
- Cushing's Syndrome · Endocrinology · Module B
- ظهر في
- Endo bank