endocrine hx

Question 1

functions of hormones

Answer 1

metab
growth + devel
tissue, sexual function
sleep
mood

Question 2

common pres symptoms of endocrine dx

Answer 2

lethargy
appetite and weight changes
sweating
skin changes
sexual dysfunctio or menstrual changes
lump on neck (goitre)
disturbed bowel or urinary patterns

Question 3

sequence of events investigation

Answer 3

onset, duration, progress, periodicity, act vs chr

Question 4

symptom analysis

Answer 4

begin with presenting problem (troubling the most)

Question 5

lethargy commonly presents during

Answer 5

endo and non endo dx
hypothyroidism, addisons, dbt mel, anaemia
chr inf, drugs, malignancy, depression

Question 6

changes in appetite and w with dx

Answer 6

incr - associated with w loss or gain?
^ ap + wl - thyrotoxicosis / dbt mel
^ ap + wg - cushings
dec ap + wl - anorexia / git malig
dep ap + wg - hypothyroidism

Question 7

significant wl

Answer 7

more than 5% of w in ~6 months

Question 8

changes in bowel habits (hyper vs hypo thy)

Answer 8

diarr - hyperthy
constip - hypothy

Question 9

polyuria l/day and assoc

Answer 9

> 3l/day, may break sleep
dbt mel, dbt insip, often associated with polydipsia (thrist)

Question 10

hyperhidrosis and assoc causes

Answer 10

not necessarily high temp or exertion
characteristic of hyperthy, hypogylc, menopause

Question 11

molluscum fibrinosum

Answer 11

the little skin tags

Question 12

acanthosis nigricans

Answer 12

dark patches on folds of skin assoc with dbt and obesity

Question 13

xanthelasma

Answer 13

fat deposits around eyes

Question 14

onycholysis

Answer 14

separation of nail from nailbed

Question 15

inc/dec pigment changes and causes

Answer 15

inc - primary adren insuff, cushings/acromeg
dec - 1° hypopit

Question 16

hirsutism

Answer 16

female with male pattern facial hair

Question 17

absence of male facial hair

Question 18

temp recession of woman hair

Question 19

loss of axillary or pubic hair

Question 20

stature abn

Answer 20

tall - can be normal or gh excess giantism/marfans
short - can be n, turner, ds, achondroplasia, rickets

Question 21

ed causes

Answer 21

hypogonadism
emotional dos
vssc

Question 22

amenorrhea

Answer 22

failure to mens

Question 23

primary amenorrhoea

Answer 23

failure to menstruate by 17 years old

Question 24

causes of prim amenorrhoea

Question 25

secondary amenorrhoea

Question 26

causes of sec amenorrhoea

Question 27

system review

Answer 27

constitutional : fatigue / fever
cvs : chest pain / periph oedema
resp :

Question 28

occup hazards

Answer 28

endocrine disruptive chemicals, chlorophenol, synthetic resins, heavy metals etc

Question 29

medical summary

Answer 29

demo
underlying conditions (background)
pres complains + duration
most likely system involved +diag
associate symptoms
risk factors

Question 30

dbt mel

Answer 30

absol or rel defic of insulin
hyperglycemia
polyuria, dypsia, phagia
wl, tiredness, lethargy
may exp blurry vision
exp inc inf and delayed healing

Question 31

hypoglyc

Answer 31

<3mmol/l
trembling, sweating weakness
palpitations
rapid loss ot conscious / seizures
causes: insulin (dbt taking their insulin but not eating) , poor eating

Question 32

hyperthy/ thyrotoxicosis

Answer 32

h - incr synth and sec
t - clinical syndrome of excess circulating hs
intolerance of heat
wl with inc app
exertional dyspnoea
diarrhea +amenorrhoea
papl
muscle weakness

Question 33

hypothy incomplete slide

Answer 33

def of thyr prod
cant tolerate cold weather
periorbital puffy (mixed oedema)