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What is the multidisciplinary second-opinion council?

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Adrenal Gland Disorders

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Adrenal Gland Disorders

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Patient Information

Full Name *

Age *

Gender *

Weight (kg)

If you have any other complaints, please describe them

Diagnosis and Treatment History

What is the main adrenal diagnosis for which you are applying to our council?

Adrenal Adenomas / Incidentaloma (incidentally detected mass)

Conn's Disease / Syndrome (Primary Aldosteronism - blood pressure and potassium disorder)

Pheochromocytoma or Paraganglioma (catecholamine-producing tumours)

Cushing's Syndrome (cortisol excess of adrenal origin)

Adrenal Hyperplasia (symmetrical or nodular enlargement of the glands)

Other / Suspected Adrenal Masses or Lesions

When and how was your diagnosis made?

What treatments and procedures have you had so far?

Medical / Drug Treatments (blood pressure medications, hormone blockers, etc.)

Laparoscopic or Open Adrenalectomy (adrenal gland surgery)

Regular Imaging and Hormonal Follow-up

Complaints

What are your main current complaints?

High blood pressure that is hard to control or rises suddenly (hypertension)

Muscle cramps, weakness and fatigue due to low blood potassium

Episodes of palpitations, excessive sweating and headache

Rapid weight gain, thickening of the trunk, rounded face and purple stretch marks

Dull pain or fullness in the back, abdomen or flank

Other

Medications and Other Conditions

Medications you take regularly (blood pressure medications, hormone preparations, etc.)

Other chronic conditions or previous surgeries

Your Questions for the Council

Question 1

Question 2

Question 3

Tests and Reports

No tests

General Blood and Biochemistry Reports

Dexamethasone Suppression Test Results

24-Hour Urine Test Results (metanephrine, normetanephrine, cortisol, aldosterone, etc.)

Abdominal / Adrenal Ultrasound Report

Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) Reports

I have read and understood the Information and Consent Text regarding the Provision of Remote Healthcare Services and hereby accept its terms.*

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