approach to cushing sx - danesh

[ArchivalUser]

very nice explanation Eagerforcs!

another approach:

1-low dose Dexa(1mg)
if high cortisol.............

2-24 urine cortisol(confirmatory)
if high

3-ACTH level......if low----->adrenal tumor(diff by DHEA-S and CT )
.........................if high----->pituitary sx or ectopic tumor---------------->

4-High dose Dexa....if low----> pitu. tumor ectopic tumor

[ArchivalUser]

4-High dose Dexa....if low----> pitu. tumor ectopic tumor