Endocrine

Question 1

sudden hypotension in response to stress or procedure think

Answer 1

acute adrenal crisis

Question 2

how to tx addisonian crisis

Answer 2

• O2
• fluids
• IV hydrocortisone
• add fludrocortisone

Question 3

meds for acute/preop pheo symotoms

Answer 3

phentolamine/phenoxybenzamine first

propranolol second

Question 4

how does thyroid storm present

Answer 4

fever
AMS
tachy
vomit/diarrhea

Question 5

how to tx thyroid storm

Answer 5

• propranolol/labetolol first, if C/I esmolol
• PTU/methimazole
• iodine 1 hour after PTU

Question 6

MCC primary hypothyroid

Answer 6

AI

Question 7

usual signs of myxedema coma

Answer 7

hypothermia

hypotension/bradycardia

Question 8

how to tx myxedema coma

Answer 8

• slow rewarming
• T4
• IVF

Question 9

AMS DONT cocktail

Answer 9

Dextrose
Oxygen
Narcan
Thiamine

Question 10

5 I’s of hyperinsulin state

Answer 10

infection
Infarction
Infant (pregnancy)
Indiscretion -including cocaine ingestion
Insulin lack

Question 11

DKA vs Hyperosmolar Hyperglycemic State (HHS)

Answer 11

diff b/w them is presence of ketoacidosis and degree of hyperglycemia
DKA-<800 but usally 350-500, acidosis
HHS->1000, no metabolic acidosis

Question 12

how to tx DKA and HHS

Answer 12

• 0.9% saline
• correct K deficit
• low dose IV insulin

Question 13

alcoholic ketoacidosis

Answer 13

• will have normal or low glucose

- elevated ketones resulting in metabolic acidosis

Question 14

how to tx aka

Answer 14

-IVF (saline and dextrose)

Question 15

MC endo emergency

Answer 15

hypoglycemia

glucose<50