Buzzwords - Endocrine

Question 1

hyperparathyroidism, pituitary tumors, pancreatic tumors

Answer 1

MEN 1

Question 2

hyperparathyroidism, pheochromocytoma, medullary thyroid carcinoma

Answer 2

MEN 2a

Question 3

severe osteoporosis, BLUE-TINTED SCLERAE + PRE-SENILE DEAFNESS

Answer 3

OSTEOGENEISIS IMPERFECTA

Question 4

catecholamines

Answer 4

epi, norepi

Question 5

dawn phenomenon

Answer 5

normal glucose until RISE IN SERUM GLUCOSE LEVELS BTW 2am - 8am
-results from decreased insulin sensitivity and NIGHTLY SURGE OF COUNTER-REGULATORY HORMONES (during nighttime fasting)

-tx- BEDTIME INJECTION OF NPH (to blunt morning hyperglycemia), AVOID CARB SNACKS LATE AT NIGHT, insulin pump use early in am

Question 6

somogyi effect

Answer 6

NOCTURNAL HYPOGLYCEMIA FOLLOWED BY REBOUND HYPERGLYCEMIA (due to surge in growth hormone)

-tx- PREVENT HYPOGLYCEMIA by dec nighttime NPH dose or give bedtime snack

Question 7

insulin waning

Answer 7

progressive rise in glucose from bed to morning (seen when NPH evening dose is administered before dinner)

-tx- move insulin dose to bedtime or increase evening dose

Question 8

hyperpigmentation at this patient’s skin and mucus membranes

Answer 8

addison’s

Question 9

What test can help to determine if a patient is surreptitiously self-administering insulin?

Answer 9

A low C peptide level with a high insulin level is diagnostic for factitious hypoglycemia.

Question 10

Sheehan syndrome

Answer 10

sudden loss of lactation (pituitary adenoma?)