endo quick facts Flashcards
reversed
Neck Surgery. Chvostek and Trousseau. Prolonged QT.
Hypoparathyroid
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Elevated PTH and calcium. Low phosphate.Short QT interval. bones, stones, abd moans, psych groans
Primary Hyperparathyroid
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Elevated PTH. Normal/Low calcium. Renal failure and Vit D deficiency
Secondary hyperparathyroid
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Increased growth hormone. Pituitary tumor. Large hands/feet. Increased insulin like growth factor.
Acromegaly
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Eye and Skin manifestation
Graves
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PTU - first trimester. Methimazole - after first trimester.
Hyperthyroid Treatment
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Hashimotos. Levothyroxine
Hypothyroid
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Low TSH and Free T4. Check adrenal function.
Central hypothyroid
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TSH. Ultrasound. Warm nodules are benign. Cold nodules are cancer.
Thyroid nodule
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Pituitary adenoma. Lung tumor. Adrenal tumor. Low ACTH = adrenal. High ACTH = pituitary or lung.
Cushings
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Increased ACTH = adrenal. Low ACTH = pituitary. ACTH stimulation test. Hyponatremia and hyperkalemia. Fludrocortisone.
Addisons
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Androgen and/or estrogen secreting = cancer. CT scan. Surgery
Adrenalcortical carcinoma
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Galactorrhea, oligomenorrhea, amenorrhea. Hook effect. HCG, TSH, MRI. Cabergoline.
Prolactinemia
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Low c-peptide. Antibodies. Beta cell destruction.
Type 1 DM
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Insulin insensitivity. Weight loss. Metformin.
Type 2 DM
