128: Gen Endocrine Flashcards
A patient presents with general malaise, lethargy, weight loss and has noticed colour change in a scar on her leg….what test would confirm your diagnosis
Synacthen Cortisol Response. (Addisons)
A patient presents with an incidental finding of persistent high blood pressure. on further questioning he reports sweating and headaches, his pules is 102bpm….what test would confirm your diagnosis.
24h urine catecholamine’s (Pheochromocytoma)
A patient presents with weight gain, fatigue, acne, hirsuitism and depression. on examination her blood pressure is 140/95
Dexamethasone overnight cortisol test. (Primary Cushings)
A patient presents with hot flushes, weight loss, palpitations and sweating…what test would confirm your diagnosis?
TFT ( hyperthyroidism)
A man presents with infertility, reduced libido, small testes and reduced body hair.
Testosterone, LH and FSH. (Kleinfelters)
a 19 yo male presents with a 1y history of headaches. on examination he is hypertensive …what is likely?
phaeochromocytoma ( adrenal tumour producing noradrenaline)
25 y old female presents with weight loss. on examination she is tachycardic with hypertension and has thick dry skin on the front of her shins…what is likely?
hyperthydoidism ( tachycardic due to beta andrenergic receptors, thick dry skin due to graves disease - autoimmune thyroid stimulated to produce thyroxine)
patient presents with hirutism and acne. on examination she is centrally obese with purple striae on the abdominal wall. she has a history of on-going hypertension. what is likely?
cushings. cortisol high causing acne hirutism and central obesity.
pateint presents with lightheaded ness when moving from sitting to standing. on examination his blood pressure is low and there is evidence of pigmentation in skin creases surrounding a scar on his leg. he also reports that he has lost weight and is feeling tired all the time. what is likely?
Addisons. Adrenal insufficiency, pigmentation, postural hypotension, weight loss and malaise.
a 43y old lady presents feeling tired and cold all the time. it is noticed on examination that she is overweight, bradycardic and has thin coarse hair. what is likely?
hypothyroid
