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A patient has hypertension, osteoporosis, hyperglycemia, immunosuppression, and

ID: 261614 • Letter: A

Question

A patient has hypertension, osteoporosis, hyperglycemia, immunosuppression, and an unusual accumulation of fat on the trunk and upper back. An MRI shows that one adrenal gland is abnormally large, while the other has atrophied. From the choices shown below, click on the hormonal profile that you would most likely see in your patient low CRH, low ACTH, low cortisol high CRH, low ACTH, high cortisol low CRH, low ACTH, high cortisol high CRH, high ACTH, low cortisol low CRH, high ACTH, high cortisol high CRH, high ACTH, high cortisol

Explanation / Answer

In such a situation, we can conclude that the hormonal profile:
low CRH, Low ACTH, high cortisol

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