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NBME 2: 15-year-old girl is brought - khushigrover
#31
Even if we suspect Cushing's the first test to do is an Overnight Dexamethasone suppression test and only if Abnormal do we do a 24h Urine free Cortisol test . On the other hand for Pheo all we need is a Urine Catecholamine test!
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#32
A n A n A -- tests have already r/o other options and so has the P/E
u do A, if the HTN still exist then u do further investiagtion, they clearly say she is overweight, she has no features of cushings not sign/sx of pheochromocytomam, also r/o by renal us

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#33
so the ansre is AAAAAAAAAAAAA
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#34
10% of Pheo's are extraadrenal
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#35
pheo..B,,ans
no changes for chusing..
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#36
so .... is there changes for pheochromocytoma???? obviously NO it is neither B nor C
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#37
it can't be bbb mira -- Urinalysis is within normal limits & Pheochromocytoma in adults/child has episodic Sx's

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#38
bump.
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