endo+gastro Flashcards
Nelsons syndrome
post B/L adrenalectomy,adenoma ACTH production, increased pigmentation
Nelsons syndrome prevention
Pituitary radiotherapy
octreotide key side effect
gallstones(30%)
Pioglitazone contraindications(2)
Heart failure, LFT derangement
Kallman syndrome(hypogonadotrophic hypogonadism)- 2 key features on top of no secondary sexual characteristics and short stature
Lack of smell, cleft palate
latent autoimmune diabetes of Adults(LADA)
Type 1 DM in older people
Type of autoimmunce cells seen in T1DM
Islet cells
Impaired glucose tolerance level
glucose reading after oral glucose tolerance(7.8-11.1)
Impaired fasting glucose level
Fasting glucose (6.1-7.0)+ normal oral glucose tolerance.(<7.8)
Specific features of graves disease
pretibial myxoedema, acropachy, ophthalmoplegia, exophthalmos
NOT a specific feature of graves disease
Lid lag(thyrotoxicosis)
suitability of islet cell transplant
2 or more severe hypos+ impaired hypoglycaemic awareness
Initial insulin regime for T1DM
Twice daily premixed insulin
Initial insulin regime for T2DM
once a day insulin
dizziness, blurred vision upon standing, profuse sweating when eating- diabetic
Autonomic neuropathy(affects blood pressure, digestion, respiratory function, urination, sexual response and vision)
diabetic- burning sensation at both feet which is worse at night
distal symmetric peripheral neuropathy(numbness, tingling, prickling sensations)
pseudohypoparathyroidism
short 4th and 5th fingers(genetic), low calcium, high phosphe, ELEVATED parathyroid levels
Pseudopseudohypoparathyroidism
same as pseudo +normal biochemistry results