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24 Possible Causes for Hypernatremia, Supraclavicular Fat Pads

  • Iatrogenic Cushing's Disease

    Individuals with Cushing syndrome can develop moon facies, facial plethora, supraclavicular fat pads, buffalo hump, truncal obesity, and purple striae, as shown in the image[emedicine.medscape.com] Weight gain in face ( moon face ) Weight gain above the collar bone (supraclavicular fat pad) Weight gain on the back of neck ( buffalo hump ) Skin changes with easy bruising[aans.org]

  • Adrenocortical Carcinoma

    Six months after surgery, she showed signs of hypertension recurrence accompanied by hypokalemia (serum potassium: 2.9 mEq/l) and hypernatremia (serum sodium: 150 mEq/l).[casesjournal.biomedcentral.com] pads.[symptoma.com] The majority of patients with functional tumors shows symptoms of Cushing syndrome including truncal obesity, striae, malar flushing, supraclavicular and dorsocervical fat[symptoma.com]

  • Cushing's Disease

    Weight gain in face ( moon face ) Weight gain above the collar bone (supraclavicular fat pad) Weight gain on the back of neck ( buffalo hump ) Skin changes with easy bruising[aans.org] Individuals with Cushing syndrome can develop moon facies, facial plethora, supraclavicular fat pads, buffalo hump, truncal obesity, and purple striae, as shown in the image[emedicine.medscape.com]

  • Corticotroph Pituitary Adenoma

    fat pad, sometimes known as a 'buffalo hump' purple skin striae easy skin bruising acanthosis nigricans proximal myopathy depression and other mood disorders osteoporosis[radiopaedia.org] Weight gain (with centripetal distribution, buffalo-hump, supraclavicular fat pad), arterial hypertension, ecchymoses and purple striae on flanks and lower abdomen are all[primarycare.imedpub.com] Typically, patients have the following clinical features 6 : rounded face, sometimes described as 'moon-shaped' progressive centripetal obesity and weight gain prominent supraclavicular[radiopaedia.org]

  • Adrenal Cortex Hormone

    Monitor intake and output, serum glucose and electrolyte levels for abnormalities, especially hypokalemia and hypernatremia.[journals.lww.com] Hypertnsion, Hypokalemia (low levels of K), hypernatremia and Alkalosis. (Adenoma’s – Over production of Aldosterone).[biochemden.com] Typical mineralocorticoid side-effects are hypertension (abnormally high blood pressure), hypokalemia (low potassium levels in the blood), hypernatremia (high sodium levels[en.wikipedia.org]

  • Secondary Aldosteronism

    […] hydroxycortisol -Aldosterone to renin ration -captopril supression test (if aldo.levels remain unchanges after captoril adm. diagnosis can be made) -biochemistry: *hypokalemia *hypernatremia[quizlet.com] Weight gain, glucose intolerance, striae, skin thinning, increase in cervical, supraclavicular fat pad, facial plethora, muscle weakness, or osteoporosis in an obese patient[thecurbsiders.com] […] pressure natriuresis (other mechanisms may be responsible, although how these operate remains unclear) compensatory diuresis “escape” from edema and formation and frank hypernatremia[amboss.com]

  • Cushing Syndrome

    Cortisol can also exhibit mineralocorticoid activity in high concentrations, worsening the hypertension and leading to hypokalemia (common in ectopic ACTH secretion) and hypernatremia[en.wikipedia.org] […] hump"), increased supraclavicular fat pads, and white abdominal striae.[ncbi.nlm.nih.gov] Features more specific to Cushing's syndrome include proximal muscle weakness, supraclavicular fat pads, facial plethora, violaceous striae, easy bruising, and premature osteoporosis[bestpractice.bmj.com]

  • ACTH-Dependent Cushing Syndrome

    References: [2] [3] [4] Diagnostics General laboratory findings Hypernatremia, hypokalemia, metabolic alkalosis Hyperglycemia : due to stimulation of gluconeogenesis enzymes[amboss.com] Case: A 26-year-old male patient presented with moon face, purplish striae, supraclavicular fat pads and proximal muscle weakness.[endocrine-abstracts.org] pad (buffalo hump); supraclavicular fat pads; facial fullness (moon face) Reproductive system- menstrual irregularity; infertility Psychiatric effects- depression (62%),[dundeemedstudentnotes.wordpress.com]

  • Ectopic ACTH Syndrome

    Laboratory assessments showed hyperglycemia, hypernatremia, severe hypocalemia, metabolic alkalosis and low urinary osmolarity, which persisted after water deprivation test[imed.pub] fat pad, sometimes known as a 'buffalo hump' purple skin striae easy skin bruising acanthosis nigricans proximal myopathy depression and other mood disorders osteoporosis[radiopaedia.org] Presentation Truncal obesity, supraclavicular fat pads, buffalo hump, weight gain. Facial fullness, moon facies, facial plethora. Proximal muscle wasting and weakness.[patient.info]

  • Carcinoma of the Prostate

    Ectopic ACTH, prostatic oat cell carcinoma, and marked hypernatremia.[ec.bioscientifica.com] The patient had oral candidiasis, thin skin, multiple petechiae on the chest, a small supraclavicular fat pad and proximal muscle weakness.[ec.bioscientifica.com]

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