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Doctor insights on: Diagnosing Hyperpituitarism

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How are pituitary tumors diagnosed?

How are pituitary tumors diagnosed?

MRI, blood tests: The most accurate way to diagnose a pituitary tumor is by mri. Some pituitary tumors secrete hormones. Blood levels of these hormones may be checked to help diagnose a pituitary tumor as well. A tumor may be suspected if one's visual field is restricted (loss of peripheral vision). ...Read more

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How is adrenal insufficiency diagnosed?

How is adrenal insufficiency diagnosed?

Stimulation Test: Cortisol levels vary widely between individuals, and by time of day and are affected by illness. So random levels may not be helpful. A stimulation test with an injection of Cortrosyn to make the adrenals release cortisol is used. Blood is drawn just before, and 30 and 60 minutes after the Cortrosyn injection. Stimulated levels above 18-20 usually indicate normal adrenal function. ...Read more

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Is cushing's syndrome easy to diagnose?

Is cushing's syndrome easy to diagnose?

No, it's a tough one: Cushing's syndrome is a condition where your body makes too much cortisol (a hormone). A blood draw, 24 hour urine measurement of cortisol, midnight salivary cortisol measurement or a test called dexamathasone suppression test can be done to give you the diagnosis. Often time, you'll need multiple or all of the tests above to make an accurate diagnosis. It's one of the hardest diagnosis to make. ...Read more

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Are cushing syndrome tests accurate?

Are cushing syndrome tests accurate?

If done correctly.: Diagnosing cushing syndrome (oversupply of cortisol) is tricky. Cortisol levels go up and down normally, depending on the time of day. Therefore, timing of tests for cushing syndrome is important. The actual laboratory test for cortisol, however, is quite accurate. ...Read more

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What is primary adrenal insufficiency (addisons disease)?

What is primary adrenal insufficiency (addisons disease)?

Adrenal cortex: The adrenal cortex makes lots of hormones. Very important are cortisol and aldosterone which help maintain life and salt balance. Addison's disease is caused by adrenal cortex damage rendering it unable to make these hormones anymore, mostly autoimmune cause in us. Patients often have a bronzed look. Hydrocortisone replacement is a lifesaving necessity. Fludrocortisone may also become necessary. ...Read more

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How do physicians diagnose cushing's disease?

How do physicians diagnose cushing's disease?

Labs and imaging: A lab draw or urine test can tell if your body is making too much cortisol. This is a condition called cushing's syndrome. Cushing's disease is cushing's syndrome caused by a pituitary tumor. Imaging studies (MRI) can locate this tumor. ...Read more

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How to treat non-classical congenital adrenal hyperplasia?

How to treat non-classical congenital adrenal hyperplasia?

Male or Female?: This would depend on the age and sex of the patient in addition to the degree of severity. If cortisol response is normal and a male is affected, often times steroid suppression is stopped after puberty. This is more complicated in females who may otherwise suffer from irregular periods, hirsutism, recalcitrant acne. They may need treatment through adulthood. Please discuss with endocrinologist. ...Read more

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How is an adrenal tumor diagnosed?

How is an adrenal tumor diagnosed?

Imaging studies: Imaging studies (ct scan, mri, u/s) are used to diagnosed an adrenal tumor...Then you need lab tests to know if the tumor is producing hormones... ...Read more

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What specialist test for adrenal gland cancer ?

What specialist test for adrenal gland cancer ?

Endocrinologist: Cancer starting in the adrenal gland (Adrenocortical carcinoma) is very rare. Because it usually presents as with signs of corticosteroid excess(Cushing's Syndrome) and/or signs of virilization it is usually diagnosed by an Endocrinologist. CT, MRI or PET scans can usually show the cancer and differentiate it from a benign adenoma of the adrenal gland. ...Read more

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What tests are needed for diagnosing cushings disease?

What tests are needed for diagnosing cushings disease?

Complicated: Cushings syndrome is diagnosed by first having a clinical suspicion followed by careful testing: late night salivary cortisol, urinary cortisol or a Dexamethasone suppression test. Tests must be clearly and reproducibly abnormal. Further identification of the cause of the syndrome needs to be tailored to your particular situation. ...Read more

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Which physician diagnoses insulinoma? Diabethologist? Thanks

Which physician diagnoses insulinoma? Diabethologist? Thanks

Insulinoma: Yes, an endocrinologist would be a good place to start. Are you ever hypoglycemic? (Low blood sugar) ...Read more

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What doctors treats paraneoplastic syndrome?

What doctors treats paraneoplastic syndrome?

It depends: While the ultimate treatment of a neoplastic syndrome is the treatment of the underlying cancer, which is done by an oncologist or a radiation therapist, because of the varied types of presentations other specialties may be involved. ...Read more

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Can acth test give false addison's disease diagnosis?

Can acth test give false addison's disease diagnosis?

Anything is: Possible, and such an important test should always be repeated for confirmation before you are placed on what will almost certainly be a life-long and potentially dangerous medication regimen. See a specialist. ...Read more

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How would paget-schroder syndrome be diagnosed? Mri?

How would paget-schroder syndrome be diagnosed? Mri?

Exam and ultrasound: Paget-schroetter syndrome presents with swelling and pain. May have thoracic outlet compression, or trauma- effort thrombosis. Examine arms, chest, veins compression and do ultrasound exam. Traditionally venogram was done. Some may respond to lytic therapy and some may need surgery for first rib resection. ...Read more

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In what way is cushings disease diagnosed?

Overnight: Do an overnight Dexamethasone suppression test: draw serum cortisol in the morning. Then take 1 mg of Dexamethasone at bedtime and repeat the serum cortisol the next morning. Failure to suppress is indicative of cushing's disease. ...Read more

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Are nuclear scans accurate for diagnosing gallbladder troubles?

Are nuclear scans accurate for diagnosing gallbladder troubles?

Yes for acute: The accuracy of cholescintigraphy (nuclear scan) for diagnosis of acute calculous cholecystitis has been greater than 95%, and the accuracy for acute acalculous cholecystitis is only slightly less. A normal scan with gallbladder visualization almost always excludes a diagnosis of acute cholecystitis. ...Read more

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How alike are pcos and non-classical congenital adrenal hyperplasia?

How alike are pcos and non-classical congenital adrenal hyperplasia?

Symptoms only: Pcos and nccah have pretty much the same symptoms; irregular cycles and symptoms of too much male hormone. Cah however is caused by a missing enzyme and pcos is usually a metabolic problem. ...Read more

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What tests can diagnose chronic fatigue syndrome?

What tests can diagnose chronic fatigue syndrome?

None: There are no tests to diagnosis cfs but there are tests that can diagnose other diseases that can mimic the symptoms of cfs. Have a doctor evaluate your symptoms. ...Read more

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How is pheochromocytoma diagnosed?

How is pheochromocytoma diagnosed?

Options: Signs and symptoms are helpful. The 2 best tests for pheo are plasma fractionated metanephrines or 24 hrs urinary metanephrines and catecholamines. Once these are positive, imagine studies will be used to localize the tumor. ...Read more

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