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64 years old male k/c/o papillary rcc tye 1! radical right nephrectomy done! adrenals ahow direct invasion! pt currently suffering from insomnia! what could be the cause of insomnia? Will cortisol and acth test suffice? Kindly comment on test required!
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Dr. Shweta Badghareyrs exp
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no association between insomnia and hypothalamic pituitary adrenal axis activity high level of acth was prefected by higher non rapid eye movement
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