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Episode 261: RLR – Syncope Plus!

The Clinical Problem Solvers

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Physiologic Cushing Syndrome and Adrenal Insufficiency

A 73-year-old man comes into the ER feeling lightheaded specifically when he stands up. The patient's body is full of steroids, yet the lab say is adrenal insufficiency. "What causes physiologic Cushing syndrome and simultaneous laboratory adrenalInsufficiency? I have a zero idea right now"

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