1.6.15 - Endocrine Cases Flashcards

1
Q

addisons disease

A

adrenal insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

tests is suspect adrenal insufficiency

A

basal plasma cortisol

ACTH level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

low cortisol and high ACTH

A

addisons

normal or low cortisol - adrenal fatigue - subclinical addisons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ACTH stimulation test

A

cosyntropin IV and measure preinjection

30 and 60 minute cortisol

don’t rise - addisons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

5 S’s

A

for adrenal insufficiency

-salt, sugar, steroids, support, search

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

arterial supply to adrenal gland

A

superior, middle, inferior suprarenal arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

venous drainage of adrenal glands

A

suprarenal veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

lymphatic drainage of adrenals

A

para-aortic nodes

driven by motion of resp diaphragm**

to thoracic inlet back to heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

autonomics for adrenal

A

T8-T10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SD for adrenals

A

flexed segment - T/L junction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

OPP for adrenals

A

lympatics - resp diaphragm

sympathetics T6-L2

PS - OA, AA, C2, temporal, occiput

cranial

ventral abdominal release

fascial restriction of adrenal

champmans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

anterior chapmans for adrenals

A

2-2.5 inches above and 1 inch lateral to umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

posterior chapmans for adrenals

A

intertransverse space between T11 and T12 bilaterally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

sympathetics to adrenals

A

T6-L2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

labs for hypothyroid

A

TSH, T4, and T3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

TSH increase

T4 decrease

A

primary hypothyroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

TSH decrease

T4 decrease

A

central hypothyroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

TSH elevated

T4 normal

A

subclinical hypothyroid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

arterial to thyroid

A

superior and inferior thyroid arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

levothyroxine

A

T4

tx of hypoT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

repeat TSH

A

every 6 weeks until thyroid function stabilized

22
Q

venous drainage thyroid

A

superior, middle, inferior thyroid veins

23
Q

thyroid lymph drainage

A

prelaryngeal, pretracheal, paratracheal nodes

motion of respiratory diaphragm**

to thoracic inlet to heart

24
Q

symapthetics to thyroid

A

T1
contributions from superior, middle, and inferior cervical ganglia - 1st rib

sympathetics are vasomotor

25
Q

OPP for thyroid

A

lymphatics
sympathetics - T1 - flexed - compensatory extensions T3-4
cervical spine
cranial - hypothalamic pituitary axis

26
Q

elevated 1st rib

A

thyroid dysfunction

inferior cervical ganglion

27
Q

anterior chapmans reflex thyroid

A

ICS between 2 and 3 rib close to sternum bilaterally

28
Q

posterior chapmans reflex thyroid

A

over transverse T2

29
Q

sympathetics to thyroid

A

vasomotor

30
Q

metabolic syndrome

A

constellation of altered function
-abdominal obesity, dyslipidemia, HTN, insulin resistance

path of thyroid, adrenal, pancreas, liver, kidney

31
Q

aterial to pancreas

A

superior and inferior pancreaticoduodenal arteries

32
Q

venous from pancreas

A

superior and inferior pancreaticoduodenal veins

-portal system

33
Q

lymph pancreas

A

pancreaticosplenic and preaortic nodes

34
Q

sympathetics to adrenals

A

vasomotor

also - stimulation causes E and NE secretion

35
Q

sympathetics to pancreas

A

T6-9

vasomotor

36
Q

PS to pancras

A

vagus

-secretomotor

37
Q

PS stimulation of pancreas

A

insulin, bicarb, somatostatin, glucagon release

38
Q

liver function

A

metabolize, detoxify, inactivate substances

store - carbs, lipids, vit, min

activate hormones - T4 to T3

synthesize albumin, glucose, cholesterol, phospholipids

39
Q

arterial to liver

A

hepatic artery

40
Q

venous liver

A

portal system

-hepatic vein

41
Q

lymph liver

A

nodes above and below diaphragm

42
Q

liver sympathetics

A

T6-9

stimulate breakdown of glycogen to glucose

43
Q

PS to liver

A

vagus

-decrease glycogen breakdown

44
Q

arterial to kidney

A

renal arteries

45
Q

kidney venous

A

renal veins

46
Q

lymph kidney

A

renal vein to drain toward lateral aortic nodes

47
Q

sympathetics for kidney

A

T10-L1

vasomotor

48
Q

flexed segment at TL junction

A

kidney SD

49
Q

sympathetics to kidney effects

A

vasoconstriction
Na reabsorption prox tub
renin secretion

increased fluid retention and increased BP

50
Q

OPP for kidney

A

lymph
autonomics
myofacial/osseous restrictions in area

chapmans