Problem
If a female patient walked into your endocrinology clinic with symptoms of both excess cortisol (high blood pressure, muscle weakness, depression, frequent infections, etc) and symptoms of excess androgen expression (facial hair, excess hair growth all over body, etc), explain in detail the steps you would take to find out where the source of her issue is.
Be as creative and thorough as possible, using all the knowledge you have about how the adrenal gland & hypothalamus/pituitary pathways work.
i. Explain thoroughly why you think this is what is going on and what is behind her symptoms.
ii. What else would you want to look for in her medical history to help strengthen the diagnosis? Explain thoroughly what questions you'd see and what you'd look for to strengthen your diagnosis
iii. Based on what you know, what additional hormones, tests, scans, procedures, would you want to test for and why? Explain thoroughly why you want to test for these.