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Zap It or Treat It: Surgical vs. Medical Treatment ...
Zap It or Treat It: Surgical vs. Medical Treatment ...
Zap It or Treat It: Surgical vs. Medical Treatment in Cushing’s Syndrome
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Video Transcription
Video Summary
In this video, the speakers discuss various aspects of Cushing's syndrome, including screening, diagnosis, and treatment options. They highlight the importance of screening patients for Cushing's syndrome, as the symptoms can be similar to those of common diseases. They explain that biochemical data, such as urinary-free cortisol levels, are important for evaluation, but they do not substitute for a thorough history and physical examination. The speakers also discuss various treatment options for Cushing's syndrome, including surgical treatment, such as pituitary surgery and bilateral adrenalectomy, and medical treatment, such as cortisol synthesis inhibitors, and glucocorticoid receptor blockers. They explain that the choice of treatment depends on the individual patient, and different factors, such as severity of disease, comorbidities, and patient preferences, should be taken into consideration when selecting a treatment approach. The speakers also discuss the management of patients undergoing surgery, including perioperative testing and management of adrenal insufficiency, as well as the monitoring of patients postoperatively for recurrence or complications, such as venous thromboembolism. Finally, they highlight the importance of a multidisciplinary approach and individualized care for patients with Cushing's syndrome.
Keywords
Cushing's syndrome
screening
diagnosis
treatment options
biochemical data
surgical treatment
medical treatment
severity of disease
multidisciplinary approach
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