Disease Information for Ectopic ACTH producing tumor

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Clinical Manifestations
Signs & Symptoms
Plethora/Red face/Ruddy look
Acne flare
Brown skin discoloration
Bruising/Ecchymosis
Hirsutism
Hypertrichosis
Increased pigmentation/tanning/hyperpigmented
Purpura
Striae/Purple striae
Thin skin/parchment-like skin
Buffalo hump
Moon-like facies
Loss of libido,male
Sexual dysfunction
Excessive/easy bruising tendency
Muscle weakness
Delirium
Delirium/Agitated delirium
Impaired judgement/signs
Amenorrhea
Oligomenorrhea/Hypomenorrhea
Polymenorrhagia
Truncal obesity
Weakness
Weight gain
Disease Progression
Course/Chronic disorder
Course/Chronic only
Demographics & Risk Factors
Established Disease Population
Patient/Small cell cancer lung
Laboratory Tests
Abnormal Lab Findings - Decreased
Chloride serum (Lab)
Lymphocytes (Lab)
Plasma renin Activity/PRA (Lab)
Potassium, serum (Lab)
Renin, serum (Lab)
Abnormal Lab Findings - Increased
SALIVA Cortisol Late Night Sample
ACTH/Corticotrpin/Adrenocortical Hypertrophic hormone (Lab)
Androstenedione (Lab)
Chloride serum (Lab)
Cortisol (Lab)
Dehydroepiandrosterone S (DHEAS) (Lab)
Sodium, serum (Lab)
URINE 17-Hydroxycorticosteroids
URINE Cortisol/Free Cortisol
URINE Free Cortisol/24 Hour
Diagnostic Test Results
Other Tests & Procedures
Skin test anergy
TEST/Cosyntropin IV (0.25mgm) test abnormal
TEST/Cosyntropin IV (0.25mgm) test Excess Response
TEST/Decadron suppression abnormal
EKG (ECG)
EKG/Prominent U Waves (ECG)
CT Scan
CT Scan/Adrenal Mass Bilateral
MRI/Bilateral Adrenal Masses/abdomen
CT/Dexa-Scan Bone density Abnormal
Associated Diseases & Rule outs
Associated Disease & Complications
Acne vulgaris (acne)
Anergic status
Cataract/posterior type
Cellular immunity defect/deficiency
Cushing's disease/Syndrome
Ectopic ACTH production syndrome
Hyperglycemia
Hypernatremia
Hyperpigmentation
Hypertension
Hypertension, secondary
Hypokalemia
Hypokalemic nephropathy
Male osteoporosis syndrome
Metabolic encephalopathy
Orthostatic hypotension syndrome
Osteoporosis/osteopenia
Pathologic fractures
Peptic ulcer disease
Pituitary adenoma, ACTH secreting
Psychosis
Secondary hyperparathyroidism
Hypergastrinemia
Diabetes mellitus/non-insulin dep/type II
Metabolic Bone Disease
Disease Mechanism & Classification
Class
CLASS/Adrenal gland disorders (ex).
CLASS/Endocrine gland (category)
CLASS/Pituitary gland involvement/disorder (ex)
Pathophysiology
Pathophysiology/Paraneoplastic Endocrine Syndrome exists
Pathophysiology/Osteoporosis Secondary
Pathophysiology/Alkalosis Chloride Resistant
Process
PROCESS/Endocrine/humoral disorders (category)
PROCESS/Neoplastic (category)
PROCESS/Paraneoplastic disorder (ex)
PROCESS/Vegetative-Autonomic/Endocrine (category)
PROCESS/Tumors/ectopic endocrine/hormones release (ex)
Treatment
Drug Therapy - Contraindication
RX/Corticosteroid (Cortisone)
Drug Therapy - Indication
RX/Aminoglutethimide (Cytadren)
RX/Ketoconazole (Nizoral)
RX/Metyrapone (Metopirone)
RX/Potassium
Surgical Procedures or Treatments
SX/Surgery
Definition
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External Links Related to Ectopic ACTH producing tumor
Google
Wikipedia
Merck
Images
PubMed (National Library of Medicine)
NGC (National Guideline Clearinghouse)
Medscape (eMedicine)
Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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