Thank you Dr. Sue Zhang for a great morning report on a patient with Cushing’s disease!
Learning points:
-Consider screening for hypercortisolism in a patient with hypokalemia, metabolic alkalosis, and hypertension
-Etiologies for Cushing’s Syndrome include 1) Cushing’s Disease (pituitary) 2) Ectopic ACTH-secreting tumor 3)Primary adrenal neoplasm
-In a patient with both hypokalemia and hyperglycemia, make sure to aggressively replete potassium before administering insulin.
—Cushing’s syndrome review article: A thorough review of the epidemiology, workup, etiology, and management of Cushing’s syndrome