Mary, a 25-year old woman from Bethel, AK, presents at your…
Mary, a 25-year old woman from Bethel, AK, presents at your clinic with high blood pressure. Her records indicate that her blood pressure has been elevated for a prolonged period. A physical exam reveals symptoms that are consistent with hypercortisolism (chronic elevated cortisol levels).You order a blood test and discover that the concentrations of Adrenocorticotropic Hormone (ACTH) and Cortisol in Mary’s blood are BOTH unusually high.Of the following, which is the most likely explanation for Mary’s symptoms?
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