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Which patient would be diagnosed with secondary hypercortisolism?

A) patient 2
B) patient 4
C) patient 5
D) patient 1
E) patient 3

User Nayibe
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1 Answer

1 vote

Final answer:

Without full patient details, it is not possible to determine which patient would be diagnosed with secondary hypercortisolism, but it would be a patient with symptoms and diagnostic results indicating high ACTH and cortisol levels due to a non-adrenal cause, such as a pituitary tumor.

Step-by-step explanation:

The patient who most likely would be diagnosed with secondary hypercortisolism, also known as Cushing's disease, would be the patient with symptoms indicating excessive cortisol levels originating from outside the adrenal glands, often due to a pituitary tumor. Cushing's disease is a specific type of Cushing's syndrome where there is hypersecretion of ACTH by the pituitary gland leading to abnormally high levels of cortisol. In the context of the provided information, we have a patient (Patient B) with symptoms including weight loss, profuse sweating, increased heart rate, and difficulty sleeping, which align with symptoms of hyperthyroidism rather than Cushing's. However, typically, a patient with Cushing's syndrome also shows signs such as obesity, high blood pressure, depression, and a moon face among others.

Since specific details of other hypothetical patients are not provided in the information, we cannot determine which patient would be diagnosed with secondary hypercortisolism without additional clinical information on each patient's symptoms and diagnostic results.

User Stankovski
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