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A 29-year-old female presented with progressive swelling over the body, weight gain, menstrual irregularity. On examination, her BP was 160/100 mm Hg, pulse rate 86/min, weight 88 kg, height 155 cm. Buffalo hump was present with broad purplish striae over the abdomen. Proximal muscle weakness was present. Her investigations revealed Hb 12.6 g%, fasting blood sugar (FBS) 170 mg%, creatinine 0.9, Na 140 mEq/L, K 3.4 mEq/L (Fig. 2.1).
What investigations would you like to do to confirm your diagnosis?
Medicine
Two days low dose dexamethasone suppression test is used for diagnosis. Other tests which are supportively used for diagnosis include 24-hour urine free cortisol, midnight cortisol, salivary cortisol (Box 2.1).
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