User talk:As.abuthahir

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Deepan technique of DNA extraction
Hello, I'm sorry but this seems to be a copy of the main DNA extraction article. If you want to improve it, maybe it's best to edit that. Blythwood (talk) 13:27, 4 March 2016 (UTC)

Speedy deletion nomination of Deepan technique of DNA extraction
Hello As.abuthahir,

I wanted to let you know that I just tagged Deepan technique of DNA extraction for deletion, because it appears to duplicate an existing Wikipedia article,.

If you feel that the article shouldn't be deleted, you can contest this deletion, but please don't remove the speedy deletion tag from the top.

You can leave a note on my talk page if you have questions. Blythwood (talk) 13:27, 4 March 2016 (UTC)

Adrenal Virilism
Adrenal virilism is a syndrome in which excessive adrenal androgens cause virilization. Diagnosis is clinical and confirmed by elevated androgen levels with and without dexamethasone suppression; determining the cause may involve adrenal imaging. Treatment depends on the cause. --As.abuthahir (talk) 13:12, 21 July 2016 (UTC) (See also Overview of Adrenal Function.)

Adrenal virilism is caused by

Androgen-secreting adrenal tumors

Adrenal hyperplasia

Malignant adrenal tumors may secrete excess androgens, cortisol, or mineralocorticoids (or all three), resulting in Cushing syndrome with suppression of adrenocorticotropic hormone (ACTH) secretion and atrophy of the contralateral adrenal as well as hypertension.

Adrenal hyperplasia is usually congenital; delayed virilizing adrenal hyperplasia is a variant of congenital adrenal hyperplasia. Both are caused by a defect in hydroxylation of cortisol precursors; cortisol precursors accumulate and are shunted into the production of androgens. The defect is only partial in delayed virilizing adrenal hyperplasia, so clinical disease may not develop until adulthood. Symptoms and Signs

Effects depend on the patient’s sex and age at onset and are more noticeable in women than in men.

Female infants with congenital adrenal hyperplasia may have fusion of the labioscrotal folds and clitoral hypertrophy resembling male external genitalia, thus presenting as a disorder of sexual differentiation.

In prepubertal children, growth may accelerate. If untreated, premature epiphyseal closure and short stature occur. Affected prepubertal males may experience premature sexual maturation.

Adult females may have amenorrhea, atrophy of the uterus, clitoral hypertrophy, decreased breast size, acne, hirsutism, deepening of the voice, baldness, increased libido, and increased muscularity.

In adult males, the excess adrenal androgens may suppress gonadal function and cause infertility. Ectopic adrenal tissue in the testes may enlarge and simulate tumors. Diagnosis

Testosterone

Other adrenal androgens (dehydroepiandrosterone sulfate [DHEAS], androstenedione)

Dexamethasone suppression test

Adrenal imaging

17-hydroxyprogesterone

Adrenal virilism is suspected clinically, although mild hirsutism and virilization with hypomenorrhea and elevated plasma testosterone may also occur in polycystic ovary syndrome (Stein-Leventhal syndrome). Adrenal virilism is confirmed by showing elevated levels of adrenal androgens.

In adrenal hyperplasia, urinary dehydroepiandrosterone (DHEA) and its sulfate (DHEAS) are elevated, pregnanetriol excretion is often increased, and urinary free cortisol is normal or diminished. Plasma DHEA, DHEAS, 17-hydroxyprogesterone, testosterone, and androstenedione may be elevated. A 17-hydroxyprogesterone level of > 30 nmol/L (1000 ng/dL) 30 min after administration of cosyntropin (synthetic ACTH) 0.25 mg IM strongly suggests the most common form of adrenal hyperplasia.

Virilizing tumors are excluded if dexamethasone 0.5 mg po q 6 h for 48 h suppresses production of excess androgens. If excessive androgen excretion is not suppressed, CT or MRI of the adrenals and ultrasonography of the ovaries are done to search for a tumor. Treatment

Oral glucocorticoids for hyperplasia

Removal of tumors

Glucocorticoids are used for adrenal hyperplasia, typically oral hydrocortisone 10 mg on arising, 5 mg at midday and 5 mg in the late afternoon. Alternatively, dexamethasone 0.5 to 1 mg po may be given at bedtime, but even these small doses may cause signs of Cushing syndrome. Giving the dose at bedtime is most appropriate in terms of suppressing ACTH secretion but may cause insomnia. Cortisol 25 mg po once/day or prednisone 5 to 10 mg po once/day can be used instead. Although most symptoms and signs of virilism disappear, hirsutism and baldness disappear slowly, the voice may remain deep, and fertility may be impaired.

Tumors require adrenalectomy. For patients with cortisol -secreting tumors, hydrocortisone should be given preoperatively and postoperatively because their nontumorous adrenal cortex will be atrophic and suppressed.

Speedy deletion nomination of Adrenal virilism


A tag has been placed on Adrenal virilism requesting that it be speedily deleted from Wikipedia. This has been done under section G12 of the criteria for speedy deletion, because the page appears to be a clear copyright infringement. This page appears to be a direct copy from http://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/adrenal-disorders/adrenal-virilism. For legal reasons, we cannot accept copyrighted text or images borrowed from other web sites or printed material, and as a consequence, your addition will most likely be deleted. You may use external websites or other printed material as a source of information, but not as a source of sentences. This part is crucial: say it in your own words. Wikipedia takes copyright violations very seriously and persistent violators will be blocked from editing.

If the external website or image belongs to you, and you want to allow Wikipedia to use the text or image — which means allowing other people to modify it — then you must verify that externally by one of the processes explained at Donating copyrighted materials. If you are not the owner of the external website or image but have permission from that owner, see Requesting copyright permission. You might want to look at Wikipedia's policies and guidelines for more details, or ask a question here.

If you think this page should not be deleted for this reason, you may contest the nomination by visiting the page and clicking the button labelled "Contest this speedy deletion". This will give you the opportunity to explain why you believe the page should not be deleted. However, be aware that once a page is tagged for speedy deletion, it may be removed without delay. Please do not remove the speedy deletion tag from the page yourself, but do not hesitate to add information in line with Wikipedia's policies and guidelines. S Philbrick (Talk)  14:18, 21 July 2016 (UTC)