Endocrine

Question 1

What bloods require for low sodium

Answer 1

Urine sodium and osmolality
Serum osmolality
Glucose
Cortisol
Thyroid function

Question 2

Treatment of thyroid storm

Answer 2

Beta blockers- propranolol vs Esmolol - decreased sympathetic hyperactivity - partially blocks T4-T3
Propylthiourical PTU- blocks synthesis of thyroid hormone - decreases conversionT4-T3 fast onset. Preferred in pregnant
Methimazole . Blocks synthesis teratogenic
Iodine- inhibit release of stored thyroid hormone - only when synthetic pathway been blocked
Steroids - prevent peripheral conversion