Endo Flashcards
Most common lab abnml in adrenal insufficiency
Low NA
MCC of adrenal insufficiency
Stopping prolonged steroid use
Treatment of myxedema coma
IV thyroxine T4
Lab findings in hypo thyroidism
Low TSH high T4
High GLU CA LFT
low chol
Diagnostic criteria for thyroid storm
CNS dysfunction
temperature greater than 38°C tachycardia out of proportion to fever Tremor and weakness
Treatment for thyroid storm
Hydrocortisone - decrease peripheral conversion on T3 to T4
Propranolol - blocks peripheral effects
PTU - blocks peripheral conversion
Iodine - give one hour after PTU, blocks release if TRH
MC eltye abnml in patients with weakness
Potassium
MCC of hyperkalemia
Lab error
Causes if hyperkalemia
Lab error Low aldosterone Renal failure Acidosis Dig tox Sux
When not to use ca to rx hyperK
Dig tox
What can cause a negative anion gap
Bromide toxicity
MCC of metabolic acidosis
Lactic acidosis
What can cause a decreased anion gap
Hypoalbuminemia Multiple myeloma Hypercalcemia Hypermagnesemia Lithium toxicity
Causes if non-gap acidosis
HARD UP hypoaldosteronism Acetazolamide RTA Diarrhea
Ureterosigmoidostomy
Pancreatic fistula