MEDizzy - A 6-yr-old girl underwent removal of a craniopharyngioma 3

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Endocrine

A 6-yr-old girl underwent removal of a craniopharyngioma 3 mo previously. She is on a thyroid replacement regimen, but her mother reports she is very fatigued. The next step would be to:

ExplanationIf she already has one endocrine disorder following removal of a pituitary tumor, she is at high risk for another, and in this case adrenal function must be evaluated. If she has adrenal insufficiency from a pituitary hormone deficiency, hyperpigmentation will be absent because ACTH and cortisol levels will both be very low.