Buzzwords - Endocrine

Question 1

Catecholamines in the urine
Headaches
Hypertension
Palpitations

Answer 1

Phaeochromocytoma

Question 2

Tanned skin without being on holiday

Answer 2

Addison’s

Question 3

Increased shoe size
‘spade hands’
wedding ring too tight

Answer 3

Acromegaly

Question 4

Signs of hyperthyroidism plus eye changes
- gritty eyes
- smooth velvety skin

Answer 4

Grave’s disease

Question 5

Moon face, proximal weakness, stretch marks, buffalo hump, abdomen fat

Answer 5

Cushing’s

Question 6

Ketones on breath (sweet smelling/pear drop breath)

Answer 6

DKA

Question 7

“Orphan Annie” nuclei (clear one in a sea of purple)

Answer 7

Papillary thyroid cancer

Question 8

Bone pain
Stones
Abdomen pain
Psychiatric problems
(bones, stones, groans, moans and psychiatric undertones)

Answer 8

Hypercalcinaemia (hyperparathyroidism)

Question 9

Psammoma bodies (winders)

Answer 9

papillary thyroid carcinomas

Question 10

Butterfly rash

Answer 10

SLE

Question 11

Heat intolerance/palpitations

Answer 11

Hyperthyroidism

Question 12

Cold intolerance/ weight gain

Answer 12

Hypothyroidism

Question 13

Anosmia (inability to smell)
Isolated GnRH deficiency

Answer 13

Kallmann’s syndrome

Question 14

Trousseau sign (arm twitch and hand drops down)
Chvostek sign (tapping on side of face and facial nerve twitch)
QT prolongation (ECG)

Answer 14

Hypocalcaemia

Question 15

Acute hypocalcaemia management

Answer 15

IV Calcium gluconate (10ml of 10% calcium gluconate over 10 mins in 50% dextrose or saline)

Question 16

Brachydactyly of the 4th metacarpal (short and stout)

Answer 16

Pseudohypoparathyroidism

Question 17

Acromegaly
initial test

Answer 17

IGF-insulin growth factor

Question 19

Acromegaly
confirmation test

Answer 19

OGTT (oral glucose tolerance test)

Question 20

Oligomenorrhoea with a significantly raised prolactin level
investigation

Answer 20

MRI pituitary
(primary prolactinoma)

SSRI - dopamine