ADRENAL CORTEX ADRENAL CORTEX CUSHING CUSHING , , CONN CONN AND AND ADDISON ADDISON DISEASE DISEASE Snježana Vukeli Mentor: A. Žmea! "o
ADRENAL CORTEX CUSHING, CONN AND ADDISON DISEASE Snjeana VukeliMentor: A. mega Horvat
Adrenal cortex
Hormones secreted by cortex CORTICOSTEROIDSGlucocorticoids Mineralocorticoids CORTISOLALDOSTERON
immune system glucose stress
blood pressure water and salt balance
Cushing's syndrome
Cushing's syndrome Pituitary adenomas Ectopic ACTH sy Adrenal tumors Familial Cushings Drug related
24-hour urinary free cortisol levelCushings disease
Cushing's syndromeTREATMENT SURGERY
RADIATION
CHEMOTHERAPY
CORTISOL-INHIBITING DRUGS
Conn's syndrome HYPERTENSION
TIREDNESS MUSCLE WEAKNESS POLYURIA BLOOD POTASSIUMADRENAL ADENOMA
Conn's syndromeTREATMENT SURGICAL REMOVAL (UNILATERAL ADRENALECTOMY)
SPIRINOLACTONE
Addisons disease WEIGHT LOSS MUSCLE WEAKNESS FATIGUE LOW BLOOD PRESSURE DARKENING OF SKIN
Addisons diseasePRIMARYdestruction of adrenal cortex - autoimmune disorders - tuberculosis - chronic infection
SECONDARYLack of ACTH - drugs - tumors and infections of pituitary gland
CORTISOLALDOSTERONECORTISOL
Addisons diseaseDIAGNOSISACTH STIMULATION TESTTREATMENTREPLACEMENT THERAPYCORTISOLHYDROCORTISONEALDOSTERONEFLUDROCORTISONE
Addisons diseaseADDISONIAN CRISISACUTE ADRENAL INSUFFICIENCY- SUDDEN PENETRATING PAIN IN LOWER BACK, ABDOMEN OR LEGS
- SEVERE VOMITING AND DIARRHEA, FOLLOWED BY DEHYDRATION
- LOW BLOOD PRESSURE
- LOSS OF CONSCIOUSNESS- HYDROCORTISONE i.v.- 0,9 % NaCl i.v.- DEXTROSE
Literaturehttp://en.wikipedia.org/wiki/Adrenal_gland#Adrenal_cortexhttp://users.rcn.com/jkimball.ma.ultranet/BiologyPages/A/Adrenals.htmlhttp://www.endocrineweb.com/adrenal.html
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