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142 Possible Causes for Chloride Decreased, Cushing's Disease

  • ACTH-Secreting Pituitary Adenoma

    Cushing’s Disease vs.[] Abstract An 18-month old infant with Cushing's disease due to an ACTH producing pituitary tumor is presented.[] BACKGROUND: Adrenocorticotrophic hormone (ACTH)-dependent Cushing's syndrome, called Cushing disease, is caused by a corticotroph tumor of the pituitary gland.[]

  • Adrenocortical Carcinoma

    This was suggestive of primary adrenal disease as cortisol levels normally suppress to less than 50% of basal levels in pituitary driven Cushing’s disease.[]

  • Iatrogenic Cushing's Disease

    Iatrogenic Cushing's disease (iatrogenic Cushing's syndrome) is the most common cause of cushingoid symptoms.[] Prednisone reduction will eventually reduce Cushing’s Disease.[] That, and it's side effects, are all Cushing's Syndrome is (not Cushing's Disease, which is specifically caused by a pituitary adenoma and by definition cannot be iatrogenic[]

  • Congestive Heart Failure

    Increases in renin, mediated by a decreased stretch of the glomerular afferent arteriole, reduce delivery of chloride to the macula densa and increase beta1-adrenergic activity[] Endocrine - eg, diabetes, hypothyroidism, hyperthyroidism, Cushing's syndrome, adrenal insufficiency, excessive growth hormone, phaeochromocytoma.[] […] as a response to decreased cardiac output.[]

  • Addison's Disease

    Classically, patients affected with Addison's disease develop weakness, anorexia, electrolyte imbalances: decreased sodium and chloride with increased serum potassium resulting[] Cushing’s disease is another disorder that leads to excess cortisol in the body.[] With Addison’s disease when cortisol is low, there is low sodium, low chlorides, and resulting high potassium in blood serum. There is often times metabolic acidosis.[]

  • Small Cell Carcinoma of the Lung

    He received an intravenous injection of edrophonium chloride with remarkable improvement of muscle strength.[] Electromyographic studies revealed a compound muscle action potential that decreased after repetitive stimulation.[]

  • Respiratory Acidosis

    Arterial pH: Decreased, less than 7.35. Electrolytes : Serum potassium : Typically increased. Serum chloride: Decreased. Serum calcium: Increased.[] 3 Care Plans Cushing’s Disease 6 Care Plans Diabetes Mellitus Type 1 (Juvenile Diabetes) 4 Care Plans Diabetes Mellitus Type 2 13 Care Plans Diabetic Ketoacidosis (DKA) and[] One or more of the electrolytes will be increased or decreased in people with acid-base disorders such as respiratory acidosis.[]

  • Addisonian Crisis

    Sodium, potassium, chloride and carbon dioxide are measured to help detect and evaluate the severity of an existing electrolyte imbalance and to monitor the effectiveness[] In addition to these notes, don’t forget to review the NCLEX notes on Addison’s Disease vs Cushing’s.[] Another cause of secondary adrenal insufficiency is the surgical removal of benign, or noncancerous, ACTH-producing tumors of the pituitary gland (Cushings disease).[]

  • Bacterial Meningitis

    Tubercular Meningitis - insidious onset, slight changes in CSF chemistry, positive tuberculin, low chloride.[] What other disease/condition shares some of these symptoms? Viral meningitis and fungal meningitis can have some of the symptoms and signs.[] The constellation of systemic hypertension, bradycardia, and respiratory depression (Cushing triad) is a late sign of increased intracranial pressure.[]

  • Syndrome of Inappropriate Antidiuretic Hormone Secretion

    The sodium and chloride levels decreased continuously during treatment with citalopram; six days after the citalopram was discontinued, sodium and chloride levels returned[] […] syndrome ( E24.- ) Nelson's syndrome ( E24.1 ) overproduction of ACTH not associated with Cushing's disease ( E27.0 ) overproduction of pituitary ACTH ( E24.0 ) overproduction[] Petrosal sinus sampling with and without corticotrophinreleasing hormone for the differential diagnosis of Cushing’s syndrome. N Engl J Med 325: 896, 1991.[]

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