This article will describe adrenal cortical insufficiency (also called Addison disease) and adrenal cortical hypersecretion (also called hypercortisolism and Cushing syndrome), and explain how to recognize and manage these conditions. S suffering from adrenal cortical insufficiency or adrenal cortical hypersecretion? S has been increasingly irritable and moody lately. She's slightly tachycardic with an elevated BP. Her skin appears fragile and parchment-like, with scattered ecchymoses and striae on her abdomen.
The nurse observes that she has a moon-face appearance, with an obese trunk and thin arms and legs. For the past 6 weeks, she's noticed weight gain and menstrual irregularities. On admission, she complained of weakness, fatigue, and difficulty falling and staying asleep. S, 46, IS HOSPITALIZED for treatment of an adrenal gland disorder. If there is too little of a particular hormone, the gland or organ it normally controls will not function correctly.MRS. Nonfunctioning tumors press on or damage the pituitary and prevent it from secreting enough hormones. Too much thyroid-stimulating hormone (TSH) may cause: Extreme dislike of or concern about one or more parts of the body.Snoring or pauses in breathing during sleep.Tingling or numbness in the hands and fingers.In children, excessive growth of the whole body.In adults, growth of the bones in the face, hands, and feet.Growth deceleration with weight gain in children.Growth of fine hair on the face, upper back, or arms.Thin skin that may include purple or pink stretch marks on the chest or abdomen.Weight gain reflected in the face, neck, and trunk of the body, but thin arms and legs.
Too much adrenocorticotropic hormone (ACTH) may cause:
The symptoms of functioning pituitary tumors depend on the particular hormone the tumor is overproducing.
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