Adrenal insufficiency / pituitary / phaeo

Appears 5×

Teaching point

Addison (low Na, high K, hypotension, fatigue) -> hydrocortisone (after short Synacthen). Prolactinoma (amenorrhoea + galactorrhoea + high prolactin + microadenoma) -> cabergoline. Pituitary lesion -> MRI. Episodic headache/sweating/HTN -> phaeochromocytoma -> 24 h urinary metanephrines/catecholamines.

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