Endocrine Flashcards
Causes of hyperthyroidism
Grave’s, toxic nodular goiter
Hyperthyroidism tx
Methimazole or PTU, BB for sx
Toxic nodular goiter tx
RAIA or surg
Primary adrenal insufficiency
Addison’s
How to diagnose primary adrenal insufficiency
AM cortisol (< 3=dx, 3-10: stim test)
Primary adrenal insufficiency tx
Hydrocortisone
Excess cortisol
Cushing’s
Cushing’s sx
Central obesity, DM, osteoporosis, buffalo hump, purple striae, moon facies
Classic triad: palpitations, HA, diaphoresis
Pheochromocytoma
Cushing’s tx
Remove tumor
Pheochromocytoma tx
Surgical resection
↑Ca, ↓phosphorus
Hyperparathyroidism
Stones, bones, groans, moans
Hypercalcemia or Hyperparathyroidism
Hyperparathyroidism tx
Parathyroidectomy
Causes of wet, dry, and euvolemic hyponatremia
Dry: GI loss, renal (HCTZ)
Euvolemic: SIADH, hypothyroid, Addison’s
Wet: cirrhosis, CHF, nephrotic syndrome
Tx for wet vs. dry hyponatremia
Dry: IVF
Wet: diuretics
Most common thyroid cancer
Papillary
The following are causes of ____:
Hyperparathyroidism, cancer (lung, lymphoma), sarcoidosis, multiple myeloma, drugs
Hypercalcemia
Amenorrhea, galactorrhea
Prolactinoma
Prolactin is secreted from ____
Anterior pituitary
Prolactinoma tx
Dopamine agonists (bromocriptine, cabergoline)
Anterior pituitary hormones (6)
Prolactin FSH LH TSH GH ACTH
Posterior pituitary hormones (2)
ADH (vasopressin)
Oxytocin