Hypercortisolism Is Abnormal in Medicine / Internal Medicine — 18yo Child | Endocrinology | SMLE Q#16478
SMLE Question #16478
Medicine / Internal Medicine
Endocrinology
Objective: OBJ-ADDISON-DOSE-1
Last updated: February 2026
An 18-year-old boy has 2 years of progressive weight gain and short stature. He has central adiposity, rounded facies, violaceous abdominal striae, and mild proximal muscle weakness. He denies glucocorticoid use. Screening for hypercortisolism is abnormal, and plasma ACTH is elevated. What is the most appropriate next step in his management?
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