If ACTH independent, it is due to the autonomous function of one or both adrenal glands, including adrenal adenomas, adrenocortical carcinomas, and micronodular or macronodular hyperplasia. The clinical manifestations of Cushing's syndrome are protean and reflect the catabolic actions of cortisol on skin, muscle, bone, liver, and fat.
The words effacement, being effaced and effacing are terms that you will hear often as you approach your last trimester. These terms are used to describe the process that the cervix prepares itself for delivery and it is measured by percentage.
During your pregnancy, you're likely to feel tired much of the time -- though this fatigue may be particularly noticeable after you eat, particularly in the first and third trimester of pregnancy.If you experience tiredness after eating, there are a few things you can do to try to avoid or manage your symptoms.regnancy Fatigue. Fatigue during pregnancy is very common, particularly during the first and third trimester. Heidi Murkoff and Sharon Mazel, in their book What To Expect When You're Expecting, explain that hormones are to blame in early pregnancy, and the weight of your growing baby causes fatigue later on.