Endocrine Flashcards
viral or bacterial Thyroidits is known as:
De Qurvain’s thyroiditis
or
Subactue Thyroiditis
low Na
hight K
are typical of:
Addison Disease (low aldesterone)
Anterior localized neck pain
Tender thyroid gland are
classic finding of:
Subactue Thyroiditis (de Quervain’s thyroiditis)
tx for nephropathy in a diabetic pt is:
ACE-I
ARBs
Toxic Diabetes Insipidus is caused by:
Lithium poisoning
GI sx of DM:
gastroparesis
nocturnal diarrhea
Growth hormone excess that occurs before fusion of the epiphyseal growth plates
pituitary gigantism
typical glucose levels in pt with HHS is:
above 600
Addison (low alderstron) will have what effect on Na and K
High K
Low Na
Addsion is opposite to Conn
Initial test for Addison is:
Cosyntropin stimulation test
dry cold skin vs warm moist skin
dry cold skin > hypothyroidism
warm moist skin > hyperthyroidism
Hot nodules on Thyroids nuclear scan is a sign of:
toxic nodule and NOT a malignancy
side effects of Metformin include:
GI sx
Vitamin B deficiency
the main cause of HHS is
chronic dehydration
tx fo SIADH:
fluid restriction
Demeclycycline (ADH inhibitor)
Cardiovascular sx related to autonomic neuropathy:
Orthostatis hypotension with out increase in heart rate
SIADH causes
increased secretion of ADH
and
retention of H2O
ACTH dependent vs ACTH independent
ACTH dependent > overactive petuitary
ACTH independent > overactive adrenal
tx of Central Diabetes Insipidus is:
Desmopressin
ketone’s bodies seen in DKA are detected with:
UA dipstick
Diabetes Insipidus is:
low secretion of Antidiuretics Hormones by posterior petuitary
Intermediate acting insulin peaks
w/i 7 hours
Hyperosomlar hyperglycemic state is seen in
DM II
Dawn Phenomenone is seen in
DM I
MoA of Flozin
Increase FLOW of sugar via urine
flozin=sugar flow
Tx of Grave’s disease is:
Radioactive iodine
medical tx for hyperaldosteroonism is:
Spironolactone
Addison vs Con
low aldesterone> Addison
high aldesterone > Conn
Low Addison
Hight Conn
best diagnostic test for Cushing is:
24-h Urine free cortisol
Short acting insulin peaks w/i
few hours
Which electrolite defeciancy may lower Parathyroid function?
Mg
in Central Diabetes Insipidus, Desmopressin test will have what effect:
reduced urine production
increased urine osmolarity
High serum osmolarity and elevated BUN (azotemia)
are indicative of:
HHS
warm moist skin is a sx of:
Hyperthyroidism
diagnostic method for evaluating gastroparesis is:
Gastric scintigraphy with ingestion of readioactive labeled meal.
Endogenous Cushing syndrome is ACTH dependent or independed?
Dependent
caused by overactive petiutary gland
during Diabetic Ketoacidosis the anion gap is:
high
Addison’s disease is
HypoAdrenalism
lid lag is a sign of:
HyperThyroidism
Diabetic neuropathy that has cardiological implication?
Orthostatic hypotention (w/o compansatory HR increase)
increase risk of sudden cardiac death
ACT independent Cushing’s Syndrome is caused by:
overactive adrenal gland
Diplopia in a DM pt is usually a result of:
CN III neuropathy
episodic severe HTN and tacharrhythmia with headache is a signs of:
Pheochromocytoma
sx of Cushing Dz:
moon facies
retrocx fat pads (buffalo hump)
purple striations
hirsutism
Exophthalmos is unique to:
Grave’s Disease
pathophysiology of Cushing’s Disease
oversecretion of AdrenoCorticotropic (ACTH) >>
oversecretion of glucocorticoids by adrenal glands