A middle aged female presented with following symptoms - Hirsutism,
fragility of skin, with easy bruising, broad purplish striae and signs of proximal myopathy.
The first step in confirming the diagnosis will be
Options:
1) Advice 24 hours urinary free cortisol excretion
2) Exclude exogenous Glucocorticoid use
3) Advice plasma ACTH estimation
4) Advice dexamethasone overnight test
fragility of skin, with easy bruising, broad purplish striae and signs of proximal myopathy.
The first step in confirming the diagnosis will be
Options:
1) Advice 24 hours urinary free cortisol excretion
2) Exclude exogenous Glucocorticoid use
3) Advice plasma ACTH estimation
4) Advice dexamethasone overnight test