1.8.2013(shehaan Syndrome) Flashcards
Order of hormone replacement in Sheehan syndrome
- steroid
2. thyroid replacement at lower doses
Dose of steroids that produces steroid psychosis?
More than 80mg/day
Classical triad of Sheehan syndrome
Loss of lactation
Dry vagina(no lochia)
Amenorrhea
Cause of psychosis in steroid therapy
Hippocampal filtering of irrelevant stimuli is lost
Psychiatric manifestation common in chronic steroid therapy
Depression
Rx of steroid psychosis
Taper steroids
Add ATYPICAL antipsychotics
Connective tissue disease that produces spider naevi
RA
Crops of spider naevi arise in
HCC
Shifting dullness in Ascites is absent in
Tense Ascites
Minimal Ascites
Loculated Ascites
SHORT MESENTERY
Causes of hepatic bruit
Alcoholic hepatitis
HCC
angiosarcoma
Aneurysm of hepatic artery
Time limit in reitan trail making test
18s
Causes of cirrhosis in which liver is not palpable
Post necrotic cirrhosis
Endstage NASH
Cause of hypoglycemia in HCC
Type 1
Mechanical due to increased quantity of cells
Type 2
IGF-1
Difference btw tumor and vascular thrombi in portal vein?
Tumor thrombi is adjacent to malignant nodule
Causes of jaundice in cirrhosis
Alcohol Hepatotoxic drugs Flare Budd chiari syndrome HCC CBD stones SBP
