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| | [No title] |
 | | Screening: dexamethasone: a strong steroid that will suppress adrenal, but will not be measured in the assay. |
 | | midnight test: dexamethazone suppression test given, then blood test in early AM, pt needs to avoid stress, false positives do occur. |
 | | Diagnostic problem estrogen (raise cortisone binding globulin), spironlactone (estrogen like effect), Dilantin (any increase in P450 activity, (dexamethazone metabolism), obesity, alcoholism, depression, stress psychosis, abnormal response to dexamethazone. |
| cim.ucdavis.edu /classpages/2004/resources/metreg/MetReg_Cushings.doc (323 words) |
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