Endocrine Flashcards
hyperthyroidism may affect the BP by?
by causing an increase in systolic & diastolic readings
common endocrine cause of secondary HTN
other causes:
phechromocytoma
cushings syndrome
neuroblastoma
untreated hyperthyroidism- HR >100
patient log the patient has normal fasting glucose levels
DM elevated urinary albumin to creatinine ratio what can be concluded about this finding?
the pt. should have a repeat in 3-6 months
patients who have type II DM should be screened for renal nephropathy at the time of dx
long acting insulin basal insulin has elevated blood sugars. which blood sugars are important to review in order to increase the dose of insulin?
AM fasting
adjustments in long acting insulin is typically adjusted based on AM fasting glucose values
sedimentation rate not indicated for fatigue & weight gain.
What are common sx’s for a pt. who has hypothyroidism?
fatigue & weight gain
most common in women over 40 y/o
TSH- will determine the degree of thyroid dysfunction
lipids should be done in a fasting state
triglycerides are frequently elevated in patients with elevated glucose levels
What is critical to assessing diabetic status?
-BP
-fasting lipids
-microalbuminuria
a 38 y/o male fasting sugar 242 least helpful in eval?
blood pressure
a normal fasting glucose in a nondiabetic pt is?
<100
fasting glucose of <125= normal
hypothyroidism happens with
dyslipidemia
happens when TSH levels exceed 10
what are some abnormal findings associated with hypothyroidism?
-hyponatremia
-hyperprolactinemia
-hyperhomocysteinemia
-anemia
-elevated creatinine phosphokinase
non fasting lipids not critical for a pt. with high glucose levels
