Endocrine

Question 1

Addison’s dx

Answer 1

primary adrenal insufficiency caused by autoimmune destruction of adrenal glands
causes deficiency of ALL adrenal hormones
causes low cortisol, high ACTH

Question 2

Adrenal hormones

Answer 2

glucocorticoids (cortisol)
mineralocorticoid (aldosterone)
androgens (testosterone)

Question 3

Mineralocorticoid deficiency

Answer 3

++ loss of sodium, fluid
decreased excretion of potassium
hypotension, low cardiac output, hyperkalemia
increased salt cravings
dehydration, weakness, fatigue
cardiovascular collapse/shock

Question 4

Glucocorticoid deficiency

Answer 4

hypoglycemia, lethargy, weakness, fever, anorexia, N/V, weight loss

Question 5

Addison skin

Answer 5

hyperpigmentation caused by elevated ACTH

Question 6

Addison’s treatment

Answer 6

hormone replacement (hydrocortisone, prednisone)
increased protein/carbs (low appetite)
increased fluids
wear a medical bracelet

Question 7

Addison S/S

Answer 7

hyperpigmentation
hypoglycemia
low appetite
little pubic/axillary hair
hypotension, dizziness, fatigue
cardiac insufficiency
salt cravings
low mood/depression
muscle weakness