MB 2/3
BULLETS
Free CME
Join now
Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 213880

Cushing Syndrome / Disease imaging Adrenal computed tomography (CT) scan or magnetic resonance imaging (MRI) QID: 213880 (M2.OMB.1)
In scope icon M 6 A
QID 213880 (Type "213880" in App Search)
A 41-year-old woman presents to her primary care doctor for obesity and hypertension/hyperglycemia that has not been responding to initial management with exercise and medications. Physical exam is notable for hirsutism, truncal obesity, and limb atrophy. Her temperature is 97.5°F (36.4°C), blood pressure is 177/100 mmHg, pulse is 85/min, respirations are 13/min, and oxygen saturation is 99% on room air. Labs drawn in the morning show the following:

Serum:
Na+: 139 mEq/L
Cl-: 102 mEq/L
K+: 3.2 mEq/L
HCO3-: 27 mEq/L 
BUN: 26 mg/dL 
Glucose: 244 mg/dL
Creatinine: 1.7 mg/dL
Ca2+: 10.1 mg/dL
Adrenocorticotropin-releasing hormone (ACTH): 1 pg/mL (Normal: 5-20 pg/mL)

Twenty-four-hour urine cortisol collection shows an elevated cortisol level. Which of the following is the most appropriate next step in management?
Type in at least one full word to see suggestions list