Endocrine Flashcards
When do we recheck TSH after being treated with levothyroxine?
6 weeks
What medications for hyperthyroidism?
Methimazole
PTU
What meds for hyperthyroidism is preferred during pregnancy?
1st trimester: PTU
2nd & 3rd Methimazole
what happens in hyperparathyroidism?
High calcium
Low phosphorus
What is a concern if someone has high calcium?
underlying malignancy
someone has subclinical hypo/hyperthyroid…what do you want to do?
Come back in 6 months and recheck
Difference between Somogyi and Dawn effect?
Somogyi has a dip in blood sugar during the night and then sudden rise in the morning
Dawn has a steady rise in BS all night
How to treat Somogyi effect?
May nighttime insulin dose is too high and causing a dip in their BS at night
Are they exercising at night that’s causing the dip?
How to treat the Dawn effect?
Need to increase insulin
What hbA1c value determines that a patient has diabetes?
hba1c >6.5
What’s the max dose of metformin?
2,550mg/ day
Which oral type 2 diabetes meds are cardioprotective?
SGL2 inhibitors
“-flozin”
GLP-1 agonists
What HbA1C are we initiating insulin?
> 9%
Name a sulfonylurea?
whats a major side effect?
glipizide
hypoglycemia
What do labs look like for Addisons?
low cortisol
(everything is low)
HIGH potassium
what do labs look like for Cushings?
high cortisol
(everything is high)
LOW k+
Describe an Addisonian crisis
Tx
low BP
low BS
high K+
Steroid emergency kit
How to diagnose Lupus?
Anti-nuclear antibody test (ANA)
& stereotypical symptoms
What does a malar rash look like?
Spares the nasal labial folds
What body system do you want to monitor with Lupus?
Kidneys
glomerulonephritis
What syndrome can pop up with Lupus?
symptoms?
Tx
Sjogren’s syndrome
dry mouth, eyes, skin
symptomatic tx
