Endocrine

Question 1

-FBG <70mg/dL
-S&S of confusion,
irritability, fatigue, anxiety, sweating, irregular heart rhythm
-Sx resolve with glucose
-Alterations in consciousness
-Lethargy
-Confusion
-Combativeness
-Agitation
-Unresponsiveness
-anxiety, nervousness, irritability, nausea, vomiting, palpations, tremors

Answer 1

Hypoglycemia

Question 2

-Polyuria (excessive urination)
-Polydipsia (excessive thirst)
-Polyphagia (excessive hunger)
-Unexplained weight loss
-Poor wound healing
-Blurred vision
-Prone to candida vaginitis, UTI

Answer 2

Diabetes Type I

Question 3

-Polyuria
-Polydipsia
-Candida vaginitis
-Associated Sx HTN, dyslipidemia, atherosclerosis
-Age <40y/o and obese

Answer 3

Diabetes Type II

Question 4

• FBG <250mg/dL
• Polyuria, polydipsia
  -Fatigue, nausea, vomiting
• Mental stupor
• Kusmal breathing
• Fruity breath, odor of acetone
• Hypotension, tachycardia
• Abdominal pain

Answer 4

Diabetic Ketoacidosis

Question 5

-Abnormal enlargement of the thyroid gland
-can be caused by iodine deficiency

Answer 5

Goiter

Question 6

• Fatigue
• Cold intolerance
• Constipation
• Weight gain
• Depression
• Dry skin
• Delayed DTRs

Answer 6

Hypothyroidism

Question 7

• Diaphoresis
• Heat intolerance
• Loose stools
• Weight loss
• Anxiety
• Tremor
• Hyperactive DTRs
• Goiter w/ bruits
• Exophthalmos

Answer 7

Hyperthyroidism

Question 8

• Palpable mass
• Single or multiple
• Fixed or non-fixed
• Tender or non-tender

Answer 8

Thyroid Nodule

Question 9

-Caused by abruptly stopping steroid use
-Fever
-Headache
-Lethargy
-Nausea and vomiting
-Hypotension
- Weakness
-Sparse axillary hair
- Diarrhea
- Abdominal pain
-Arthralgias
-Amenorrhea
- Increased hyperpigmentation

Answer 9

Adrenal Insufficiency

Question 10

-Weakness
-Abdominal pain
-Nausea and Vomiting
-Diarrhea
-Fever
-Confusion
-Hypotension
-Dehydration
-Skin hyperpigmentation

Answer 10

Adrenal Crisis

Question 11

-Fatigue
-Weakness
-Abdominal pain
-Nausea and Vomiting
-Diarrhea
-Muscle and joint pain
-Weight loss
-Anorexia
-Hypotension
-Amenorrhea
-Skin hyperpigmentation

Answer 11

Adrenal Insufficiency

Question 12

-Menstrual disorders (amenorrhea to menorrhagia)
-Infertility
-hirsutism
-obesity
-acne
-insulin resistance
-recent discontinuation of hormonal birth control

Answer 12

Polycystic Ovarian Syndrome

Question 13

-Fatigue
-Decreased strength
-Poor libido
-Hot flashes
-Erectile dysfunction
-Gynecomastia
-Infertility
-Small testes

Answer 13

Hypogonadism

Question 14

-Palpable enlargement of the male breast
Often asymmetrical
-Localized to sub-areolar region
-Unilateral or bilateral
-Painful or non-painful

Answer 14

Gynecomastia

Question 15

-Must have 3 or more:
-Obesity
-HTN
-Triglycerides > 150mg/dL
-HDL < 40mg/dL (men)
-HDL < 50mg/dL (women)
-Fasting glucose > 110mg/dL

Answer 15

Metabolic Syndrome