Created at 5:13 p.m. Jul, 02, 2026
Author:
naqeeb
Type of change:
Updated content
Rationale for change
The previous format gave me a headache and bitemporal hemianopsia cuz it lumped them all together; it makes more sense to separate them to each of their respective causes (also a slightly shorter card)
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- Following bilateral adrenalectomy
- Symptoms of both mass effect (pituitary adenoma) and increased ACTH (exacerbated from lack of cortisol)

1) Indications include primary Cushing syndrome due to bilateral adrenal disease or severe secondary Cushing syndrome refractory to treatment
2) Bilateral adrenalectomy causes sudden drop in cortisol
3) Loss of negative feedback from cortisol
4) Increased corticotropin-releasing hormone (CRH) production
5) Enlargement of preexisting but undetected pituitary adenoma
6) Symptoms manifest (e.g., hyperpigmentation, headaches, & bitemporal hemianopsia)
- Symptoms of both mass effect (pituitary adenoma) and increased ACTH (exacerbated from lack of cortisol)

1) Indications include primary Cushing syndrome due to bilateral adrenal disease or severe secondary Cushing syndrome refractory to treatment
2) Bilateral adrenalectomy causes sudden drop in cortisol
3) Loss of negative feedback from cortisol
4) Increased corticotropin-releasing hormone (CRH) production
5) Enlargement of preexisting but undetected pituitary adenoma
6) Symptoms manifest (e.g., hyperpigmentation, headaches, & bitemporal hemianopsia)
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid


Sketchy




Watch Cushings Syndrome




Watch Cushings Syndrome
Sketchy 2




Watch Approach to Headache




Watch Approach to Headache
Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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Bootcamp
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OME
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Additional Resources
Atlas:




One by one
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