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www.mcghealth.org/.../adrenal_tumor.jpg




                                By: Jesse Winker
                                   Ovall Mann
                                Courtney Pringle
 Conn’s syndrome is an Adosterone-
  Producing Adenoma.
 Conn’s syndrome named after
  American endocrinologist Jerome W.
  Conn.
 Condition was first described at the
  University of Michigan in 1955
urologyhealth.org
 Conn’s Syndrome is a disease that effects the
  adrenal glands.
 It involves excess production of a hormone called
  aldosterone. (which is the hormone that regulates
  sodium and potassium reabsorption by the cells of
  the tubular portion of the kidney.)
 Essential hypertension can
  mimic Conn's syndrome.
 Conn’s syndrome can also be
  lead to the buffalo hump
  (Cushing syndrome)
 Therefore high blood pressure
  and low blood potassium may
  be due to essential
  hypertension, which is being
  treated with diuretic drugs that
  cause a loss of potassium in
  the urine.
 Conn’s syndrome normally
  effect most people in their 30-
  60 years of age.
 Conn’s syndrome is normally
  found in female cases then
  male.
 Conn syndrome occurs in 50-
  60% of cases of primary
  hyperaldosteronism.

          image1.masterfile.com/.../82/700-
          00528234w.jpg
 Frequent urination (polyuria)
 Increased thirst
 Weakness and fatigue
 Headache
 Muscle cramps
 Tingling in fingers
 Temporary paralysis
 Heart palpitations
 Hypertension (high blood
  pressure)


                             adrenalstressblog.wordpress.com/
You can identify it
on a MRI




                       The appearance of the
                       tumor on CAT scans

                       www.med-
                       ed.virginia.edu/.../anatomy/adrenal.html

                                       diagnosticimaging.com
www.surgicaloncology.com/a
                                             tf034c.jpg




 The goal of treatment is to
  lower blood pressure.(any
  other symptom)
 If tumor appears on gland
  then the gland will be
  removed.(laparoscopic
  surgery)
 All symptoms associated
  with Conn’s syndrome are
  resolved and further
  treatment involves
  controlling blood pressure .

                     www.mcghealth.org/.../adrenal_tumor.jpg
 Most adrenal disease requiring surgery can be done using
    minimally invasive (laparoscopy) surgery techniques.
    Laparoscopic adrenalectomy is the preferred technique for
    non-cancerous adrenal disease, including the following:
   Aldosterone-secreting adrenal tumors (Conn's syndrome)
   Cortisol-secreting adrenal tumors (Cushing's syndrome)
   Adrenalin-producing adrenal tumors (Pheochromocytoma)
   Primary adrenal hyperplasia
   Adrenal hyperplasia after failed treatment of Cushing's disease
   Large nonfunctioning adrenal tumors (<10-12cm)
   Adrenal metastasis
www.rfay.com.au/images/laparoscopy.jpg




   performed under a complete general anesthesia.
   A cannula (a narrow tube-like instrument) is placed
    into the abdominal cavity in the upper abdomen or
    flank just below the ribs.
   A laparoscope (a tiny telescope) connected to a
    special camera is inserted through the cannula.
    This gives the surgeon a magnified view of the
    patient's internal organs on a television screen.
   Other cannulas are inserted which allow your
    surgeon to delicately separate the adrenal gland
    from its attachments. Once the adrenal gland has
    been dissected free, it is placed in a small bag and
    is then removed through one of the incisions. It is
    almost always necessary to remove the entire
    adrenal gland in order to safely remove the tumor.
   After the surgeon removes the adrenal gland, the
    small incisions are closed.
 After surgery patient usually
  cared for by a surgical nursing
  unit.
 Usually enlisted into intensive
  care to monitor he patient blood           woldfitness.com
  pressure.
 Patients with an aldosterone-
  producing tumor will need to have
  their serum potassium level
  checked after surgery
 Patients cortisol-producing
  tumors need to take prednisone
  or cortisol

                                  http://normalpotassiumlevels.com/meas
                                  uring-blood-potassium-levels
 http://www.sages.org/publication/id/PI14/
 http://surgery.wustl.edu/Surgery_M.aspx?id=976&me
  nu_id=178
 http://www.instablogsimages.com/1/2011/09/02/pills_
  and_pills_kwia3.jpg
 http://emedicine.medscape.com/article/117280-
  overview
 www.mcghealth.org/.../adrenal_tumor.jpg

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Final production conn's

  • 1. www.mcghealth.org/.../adrenal_tumor.jpg By: Jesse Winker Ovall Mann Courtney Pringle
  • 2.  Conn’s syndrome is an Adosterone- Producing Adenoma.  Conn’s syndrome named after American endocrinologist Jerome W. Conn.  Condition was first described at the University of Michigan in 1955
  • 4.
  • 5.  Conn’s Syndrome is a disease that effects the adrenal glands.  It involves excess production of a hormone called aldosterone. (which is the hormone that regulates sodium and potassium reabsorption by the cells of the tubular portion of the kidney.)
  • 6.  Essential hypertension can mimic Conn's syndrome.  Conn’s syndrome can also be lead to the buffalo hump (Cushing syndrome)  Therefore high blood pressure and low blood potassium may be due to essential hypertension, which is being treated with diuretic drugs that cause a loss of potassium in the urine.
  • 7.  Conn’s syndrome normally effect most people in their 30- 60 years of age.  Conn’s syndrome is normally found in female cases then male.  Conn syndrome occurs in 50- 60% of cases of primary hyperaldosteronism. image1.masterfile.com/.../82/700- 00528234w.jpg
  • 8.  Frequent urination (polyuria)  Increased thirst  Weakness and fatigue  Headache  Muscle cramps  Tingling in fingers  Temporary paralysis  Heart palpitations  Hypertension (high blood pressure) adrenalstressblog.wordpress.com/
  • 9. You can identify it on a MRI  The appearance of the tumor on CAT scans www.med- ed.virginia.edu/.../anatomy/adrenal.html diagnosticimaging.com
  • 10. www.surgicaloncology.com/a tf034c.jpg  The goal of treatment is to lower blood pressure.(any other symptom)  If tumor appears on gland then the gland will be removed.(laparoscopic surgery)  All symptoms associated with Conn’s syndrome are resolved and further treatment involves controlling blood pressure . www.mcghealth.org/.../adrenal_tumor.jpg
  • 11.  Most adrenal disease requiring surgery can be done using minimally invasive (laparoscopy) surgery techniques. Laparoscopic adrenalectomy is the preferred technique for non-cancerous adrenal disease, including the following:  Aldosterone-secreting adrenal tumors (Conn's syndrome)  Cortisol-secreting adrenal tumors (Cushing's syndrome)  Adrenalin-producing adrenal tumors (Pheochromocytoma)  Primary adrenal hyperplasia  Adrenal hyperplasia after failed treatment of Cushing's disease  Large nonfunctioning adrenal tumors (<10-12cm)  Adrenal metastasis
  • 12. www.rfay.com.au/images/laparoscopy.jpg  performed under a complete general anesthesia.  A cannula (a narrow tube-like instrument) is placed into the abdominal cavity in the upper abdomen or flank just below the ribs.  A laparoscope (a tiny telescope) connected to a special camera is inserted through the cannula. This gives the surgeon a magnified view of the patient's internal organs on a television screen.  Other cannulas are inserted which allow your surgeon to delicately separate the adrenal gland from its attachments. Once the adrenal gland has been dissected free, it is placed in a small bag and is then removed through one of the incisions. It is almost always necessary to remove the entire adrenal gland in order to safely remove the tumor.  After the surgeon removes the adrenal gland, the small incisions are closed.
  • 13.  After surgery patient usually cared for by a surgical nursing unit.  Usually enlisted into intensive care to monitor he patient blood woldfitness.com pressure.  Patients with an aldosterone- producing tumor will need to have their serum potassium level checked after surgery  Patients cortisol-producing tumors need to take prednisone or cortisol http://normalpotassiumlevels.com/meas uring-blood-potassium-levels
  • 14.  http://www.sages.org/publication/id/PI14/  http://surgery.wustl.edu/Surgery_M.aspx?id=976&me nu_id=178  http://www.instablogsimages.com/1/2011/09/02/pills_ and_pills_kwia3.jpg  http://emedicine.medscape.com/article/117280- overview  www.mcghealth.org/.../adrenal_tumor.jpg

Editor's Notes

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