Endocrine

Question 1

What is the MCC of Adrenal Crisis (Acute adrenocortical insufficiency)

Answer 1

Abrupt withdrawal of glucocorticoids

Question 2

Other causes of Adrenal Crisis

Answer 2

1. Previously undx pt’s with Addison’s dz
2. Exacerbation of Addison’s
3. B/L adrenal infarction, usu. d/t Hemorrhage

Question 3

Adrenal Crisis si/sx’s

Answer 3

1. Hypotension, Hypovolemia
2. Hypoglycemia
3. Hyponatremia
4. HYPEkalemia

Question 4

Adrenal Crisis tx

Answer 4

1. IV fluids: Normal Saline
2. IV Hydrocortisone
3. Fludrocortisone

Question 5

what antibodies would you find in Hypothyroidism?

Answer 5

1. Thyroglobulin AB

2. Thyroid Peroxidase AB

Question 6

Myxedema Coma/Crisis si/sx’s

Answer 6

1. Bradycardia
2. Lethargy, obtunded, coma
3. Hypothermia
4. Hypoglycemia
5. Hyponatremia

Question 7

Myxedema Coma/Crisis treatment

Answer 7

1. IV Levothyroxine

2. Passive warming

Question 8

What is the MCC of primary hyperparathyroidism? 2nd MC?

Answer 8

1. Parathyroid Adenoma=MC

2. Parathyroid hyperplasia

Question 9

What is the MCC of secondary hyperparathyroidism?

Answer 9

1. Chronic Kidney Failure (converts vit d to its active form)
2. hypocalcemia or Vitamin D deficiency

Question 10

si/sx’s of hyperparathyroidism

Answer 10

Hypercalcemia sx’s:

1. Kidney stones
2. Bone pain
3. Abominal pain
4. Psych
5. Decreased deep tendon reflexes

Question 11

Define Parathyroidism Storm

Answer 11

sharp increase in PTH and Ca++ in response to Dehydration: Vomiting, diarrhea

Question 12

Si/sx’s of Parathyroidism Storm

Answer 12

1. AMS
2. Severe abd pain
3. N/V

Question 13

DKA and HHS treatment

Answer 13

1. IV Fluids!!!
2. Regular Insulin
3. Potassium
4. Bicarb= ONLY if severe acidosis