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Doctor insights on: Cushing 27s Syndrome Adrenal Adenoma

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Why there's hirsutism in cushing's syndrome?

Why there's hirsutism in cushing's syndrome?

Adrenal androgens: When the adrenals are stimulated, they make cortisol, but also androgens, like DHEA-S, which causes hirsutism in women. ...Read more

Dr. Murthy Andavolu
1,358 doctors shared insights

Adenoma (Definition)

Adenoma = a ...Read more


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What are gonadotropin secreting pituitary tumors?

What are gonadotropin secreting pituitary tumors?

Pituitary tumors: These are very rare, and secrete high levels of fsh or lh. These hormones stimulate the gonad, so will cause elevated estrogen in a woman, and elevated testosterone in a man. ...Read more

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Does carcinoid syndrome/ carcinoid tumors always present with frequent diarrhea and constipation?

Does carcinoid syndrome/ carcinoid tumors always present with frequent diarrhea and constipation?

No: Sometimes the only symptom is flushing with exercise or sudden increases in blood pressure. Depends on the location of the tumor, how much serotonin it secretes and whether there is any spread into the liver. Constipation is actually unusual. ...Read more

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Ana 1:80 homogeneous, sed rate 51, chronic post nasal drip, inflamed sinuses, osteo arthritis, fatigue, brain fog. What are some possible explanations?

Ana 1:80 homogeneous, sed rate 51, chronic post nasal drip, inflamed sinuses, osteo arthritis, fatigue, brain fog.  What are some possible explanations?

Labs not helpful: These are generally unrelated problems. Chronic sinusitis and post nasal drip are likely one and the same. Arthritis may be just that. The ANA and ESR are nonspecific and may be "normal" although elevated. The list of things that can cause fatigue and brain fog is rather extensive and is probably best answered in person with your doc. ...Read more

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Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Thyroid u/s rl 2.2x1.5x6.1, ll 1.8x1.1x5.1. Mildly heterogeneous exhotexture.T4free 1.3 t3total 94 TSH .63. Having many thyroid symptoms.Thyroid prob?

Probably not thyroid: Nodule does not appear autonomous ( doing its own thing) TSH still normal. No sptoms related to normal thyroid function. Sptoms usually come from an underlying autoimmune cponent. ...Read more

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Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more

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Had report of adrenal hyperplasia on CT urogram. All labs BP, normal. No symptoms. Is this a normal variant? Male age 62 ideal body weight.

Had report of adrenal hyperplasia on CT urogram.  All labs BP, normal.  No symptoms.  Is this a normal variant?  Male age 62 ideal body weight.

Here are some...: Most likely, the reported finding on CT Urogram is merely incidental and carries no clinical importance. As a F/U for a peace of mind, repeating a CT in a year is reasonable. Of course, the most logical timing of F/U should be deduced with working closely with your treating doc since she/he surely knows more pertinent information about you. ...Read more

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How likely is it 2light periods being caused by pituitary tumor? No symptoms- visual field test NML &vision 20/20- CMP, CBC- NML, been very stressed

How likely is it 2light periods being caused by pituitary tumor? No symptoms- visual field test NML &vision 20/20- CMP, CBC- NML, been very stressed

Very unlikely: I'm not an endocrinologist, but I can tell you that pituitary tumors are very rare. Without symptoms (& your visual fields are normal, no lab abnormalities, I presume without daily persistent headaches), I would put your odds even lower for macroadenoma (large tumor). Small tumors that release hormones should cause other symptoms like diabetes, blood pressure, &c. At your age, I wouldn't worry. ...Read more

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Recent +ANA, speckled. Could these recent signs be connected: periodic joint pain, elevated breast gland(lump); hearing loss. 3 drs aren't connected.

Recent +ANA, speckled. Could these recent signs be connected: periodic joint pain, elevated breast gland(lump); hearing loss. 3 drs aren't connected.

Full rheumatology: workup should including CBC, sed rate DS ANA, Rheumatoid factor, LE prep. serum completment, anti-thyroid antidoe and serum immunoglobins ( with hemoglobin electrophoresis) as a minimum. usually much more complex workups by specialists. Your symtoms certainly warrant further investigation. ...Read more

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Benign serous cystadenoma on ovary can turn into borderline cancer or frank malignancy?

Benign serous cystadenoma on ovary can turn into borderline cancer or frank  malignancy?

Yes possible: It is possible longstanding cystadenoma some times can transform to malignant cystadenoma , pathologically it is cancer or not a cancer , pathologist will never describe as borderline cancer. ...Read more

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Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

Prognosis for 3 pancreatic ampullary cancer tumors. 1 removed with whipple. Chemo 7months helped 1 shrink & 1 disappear. Liver lesions shrank. ?

It depends: Prognosis for Pancreatic Cancer is typically quite poor. But in some patients(5-10%) the tumor can be completely controlled but 90+ percent do tend to get into trouble in one to two years after Surgery. Are you currently free of any visible Cancer in your abdomen? Tell us the details of your recent test results...do they show any tumors or have these been completely controlled??? ...Read more

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Can two 24 hr 5 hiaa urine tests elevated at 50 be a false positive for carcinoid syndrome if all diet?

Can two 24 hr 5 hiaa urine tests elevated at 50 be a false positive for carcinoid syndrome if all diet?

Could be: If you have symptoms suggestive of carcinoid repeat 24 hour urine collection and also serum chromogranin-a level. Make sure you are not on nexoum or similar for few days. ...Read more

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2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

2 early MC, heartbeat seen 2nd case, no live birth, turner's synd in fetus 2nd case, karyotyping & immunological tests normal. Way fwd? More tests?

Maternal fetal medicine: specialist is what you need with your high risk pregnancies, if you don't have one available in your area please seek advice in a teaching hospital ...Read more