Endocrine Flashcards
infant with marcroglosssia, unbilical hernia, coarse facial features
cretinism (congenital hypothyroidism)
painful tender thyroid. hypothroidism. common post viral
de Quervains thyroiditis
associated iwth HLA B27, give aspirin
fibrous hyroid, woody nodule
reidel throiditis (surgery)
step to work up a thyroid nodule?
1 = TSH level
Low TSH → RAIU scan
high TSH –> Observe with serial U/S
Non-Functioning: → FNA
Normal/elevated TSH → U/S → Bx if: solid and >1 cm, cystic nodule >2com, nodules >.5 cm in pts with RF
what is required for intestinal Ca2+ absorption?
vitamin D
what hormones maintain a normal Ca2+
parathyroid hormone
calcitriol (vit D)
(bothin incrrease when Ca2+is low)
what is the MC cause of 2ndry hyperparathyroidism?
CKF (low vitamin D –> low Ca2+ –> high PTH)
trousseau’s and Chvostek sign and inc tendon reflexes make you think of what?
hypocalcemia
prolonged QT interval
hypocalcemia
shortened QT interval
hypercalcemia
tx for hypocalcemia
calcium gluconate
po cacium and vitamin D
Tx for hypercalcemia
IV saline –> furosemide
calcitonin+ bisphonsphonates if severe
genetic mutation of type i collagen. severe osteoporosis, sponatneous childhood fx and blue tinted sclera
osteogenesis imprefecta
lab result for a pt with renal osteodystrophy
low Ca2+ (dec vit D production) high phosphate (inability to secrete) high PTH (response to low Ca2+)
punched out lesions on skull = ___
cotton wool spots on skull = ___
salt and pepper skull = ____
Multiple myeloma
pagets dz
renal osteodystrophy
