Cushing syndrome

• related: Endocrine

• Cushing syndrome: suppressed ACTH production due to excess cortisol secretion from adrenal gland

• following surgery: impaired endogenous cortisol production. Chronic atrophy from lack of ACTH stimulation

• Give hydrocortisol following surgery and then taper

• fludrocortisone not required

  • aldosterone secretion from contralateral adrenal gland not impacted
  • fludrocortisone required if bilateral adrenalectomy

Links to this note

• Endocrine
  • Cushing syndrome