Endocrine Flashcards

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1
Q

What hallmark s/s will you see in Addisons

A
Low sodium
Low sugar
High K, Ca
Low fluid
Decr bp 
Wt loss
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2
Q

What other s/s will you see in Addisons

A

Muscle weakness
Salt craving
Bronzing coloration of the skin

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3
Q

What is the tx for Addisons

A

Give steroids

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4
Q

S/s of cushings

A
High sodium
High sugar
Low k, ca 
Increase fluid
Increase BP
Wt gain
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5
Q

Overuse of steroids can cause what

A

Cushings

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6
Q

Other hallmark s/s of cushings

A
Moon face
Buffalo hump
Truncal obesity
Skinny arms/legs (muscle atrophy)
Osteoporosis
Poor wound healing 
Immunosuppressive (from the steroids)
Purple striae around abdomen
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7
Q

Tx for cushings

A

Find underlying and treat

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8
Q

What med is a steroid inhibitor

A

Citadil

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9
Q

S/s of DI

A
Dry and salty (hypernatremic) 
Dehydrated (hypovolemic)
Dilute urine- decr u specific gravity and osmolality
Hypotension
Incr hr 
Wt loss
Hemoconcentration
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10
Q

What meds are given to treat DI

A

Desmopressin

Vasopressin

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11
Q

S/s of SIADH

A
Hypervolemic
Hyponatremia
Urine concentrated- incr specific gravity, osmo 
Oliguria
Incr BP
JVD
Hemodilution
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12
Q

Tx for SIADH

A

Loop diuretics
Hypertonic NS
Declomycin
Conivaptan

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13
Q

What is declomycin and what is it used for

A

Antagonizes ADH in nephrons

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14
Q

What is conivaptan

A

A vasopressin antagonist

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15
Q

What is done for an addisonian crisis

A
Fluids
Glucose IV
Possibly kayexalate
Steroids
*** get EKG for incr k***
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16
Q

Abrupt discontinuation of steroids can cause what?

A

ADDISONS