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Urgent Care Guide > Endo > Flashcards

Endo Flashcards

1
Q

DM and hyperglycemia clinical pres may include
8

A
  1. polyuria
  2. polydipsia
  3. polyphagia
  4. weight loss
  5. fatigue
  6. weakness
  7. blurry vision
  8. superficial infections
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2
Q

DKA and HHS clinical pres may include classic s/sx of hyperglycemia plus
4

A
  1. NV
  2. abd pain
  3. SOB
  4. AMS
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3
Q

DM/DKA/HHA - ask about
2

A
  1. last known A1c
  2. medication compliance
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4
Q

DM physical exam findings may include
3

A
  1. poor wound healing
  2. peripheral neuropathy
  3. charcot foot
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5
Q

DKA and HHS PE findings may include - VS
3

A

tachycardia
tachypnea
hyptension - severe dehydration

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6
Q

DKA and HHS PE findings may include - respiratory
3

A
  1. kussmaul breathing
  2. respiratory distress
  3. acetone/fruity breath
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7
Q

DKA and HHS PE findings may include - abd
1

A
  1. tenderness or may resemble surgical abx
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8
Q

DKA and HHS PE findings may include - neuro
5

A
  1. lethargy
  2. confusion
  3. obtundation
  4. coma
  5. focal neuro deficits
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9
Q

DM/DKA/HHS - img/testing
4

A
  1. POC glucose
  2. urinalysis - glucose, ketones
  3. pregnancy test
  4. consider EKG
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10
Q

DM or hyperglycemia - no evidence to treat if

A

asymptomatic

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11
Q

DM tx
4

A
  1. lifestyle changes
  2. BP and glucose logs
  3. if new dx w/ s/sx consider ER referral
  4. refer to PCP for comprehensive w/u
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12
Q

DKA/HHS - tx

A
  1. sent to ER
  2. keep NPO
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13
Q

hypoglycemia

A

<70

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14
Q

hypoglycemia clinical pres
6

A
  1. nausea
  2. dizziness
  3. confusion
  4. fatigue/weakness
  5. anxiety
  6. visual changes
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15
Q

hypoglycemia - ask about history of
10

A
  1. DM
  2. BBs
  3. ETOH
  4. malignancy
  5. renal insufficiency
  6. liver failure
  7. FTT
  8. poor nutrition
  9. gastrectomy
  10. gastric bypass surgery
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16
Q

hypoglycemia - PE findings can include
6

A
  1. tremulous
  2. nervous
  3. combative
  4. confused
  5. unresponsive
  6. comatose
17
Q

hypoglycemia - PE findings for CV (1), neuro (3), GI (1), skin (2)

A

cv - often tachycardia - caution w/ BB
neuro - difficulty speaking, focal deficits, seizure
GI - vomiting
skin - diaphoretic, warm

18
Q

hypoglycemia - img/testing
2

A
  1. POC glucose
  2. EKG
19
Q

hypoglycemia - overall tx
2

A
  1. correct hypoglycemia (juice/food) and recheck blood sugar
  2. consider d/c with PCP if appropriate
20
Q

hypoglycemia - consider discharge w/ PCP f/u if
3

A
  1. symptoms resolved
  2. no long acting hypoglycemic
  3. able to tolerate PO
21
Q

hypoglycemia - caution patients that they may lack what

A

awareness of hypoglycemia

22
Q

hyperthyroidism

A

overactive thyroid hormone production

23
Q

hyperthyroidism can include
6

A
  1. Graves disease
  2. multinodular goiter
  3. toxic adenoma
  4. postpartum thyroiditis
  5. drug induced thyrotoxicosis
  6. subacute thyroiditis
24
Q

hyperthyroidism - ask about
3

A
  1. hyperthyroid med changes
  2. med hx - type 1 DM, other autoimmune conditions
  3. recent surgery, infection, trauma
25
Q

hyperthyroidism - clinical pres might include
13

A
  1. anxiety
  2. nervousness
  3. diaphoresis
  4. tachycardia
  5. palpitations
  6. dyspnea
  7. diarrhea
  8. heat intolerance
  9. fatigue
  10. weight loss
  11. edema
  12. blurred vision, eye swelling/pain
  13. menstrual irregularity
25
Q

increased risk of hyperthyroidism w/ what meds
4

A
  1. amiodarone
  2. lithium
  3. iodide
  4. alemtuzumab
26
Q

hyperthyroidism - VS PE findings
2

A

tachycardia
febrile

27
Q

hyperthyroidism - HEENT PE findings
4

A
  1. exophthalmos
  2. lid lag
  3. proptosis (graves)
  4. periorbital edema (graves)
28
Q

hyperthyroidism - neck PE findings
4

A
  1. palpable/diffuse goiter
  2. +/- bruit
  3. palpable nodules (toxic)
  4. tender thyroid (subacute)
29
Q

hyperthyroidism - extremities and skin findings on PE
6

A
  1. muscle wasting
  2. proximal muscle weakness
  3. hand tremor
  4. pretibial myxedema (graves)
  5. digital clubbing (graves)
  6. diaphoresis
30
Q

hyperthyroidism - img/testing

A
  1. EKG
  2. glucose
  3. pregnancy
31
Q

hyperthyroidism - tx
4

A
  1. avoid strenuous activity
  2. limit caffeine intake
  3. quit smoking
  4. avoid biotin and iodine supplements
32
Q

hyperthyroidism - f/u

A

refer to PCP for w/u

33
Q

hyperthyroidism - when to refer to ER
2

A
  1. suspected thyroid storm - fever, SVT, a fib, hypotension, HF, ACS syndromes, abd pain, hyperkinesis, liver failure, agitation, psychosis, coma
  2. fever + sore throat on methimazole (agranulocytosis)

Urgent Care Guide (38 decks)

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