Endocrine Flashcards
Factors release ADH
Surgical pain
Increased osmopality
Decreased circulating blood volume
Opioids, chlorpropamide
Signs of autonomic neuropathy in DM?
Painless MI Orthostatic hypotension Reduced HR response to atropine or BB Resting Tachy Early satiety Neurogenic bladder Lack of sweating Impotence Lack of HR variability (normal HR variability during voluntary deep breathing of 6 breaths/min is >10 beats/min)
Primary initial management of DKA is
Volume resuscitation
Aldosterone is a minerelocorticoid, how about Dexa, hydrocortisone, and fudrocortisone
Dexa -> glucocorticoid
Hydrocortisone-> glucocorticoid and some mineral corticosteroid
Fludrocortisone -> synthetic corticosteroid has moderate glucocorticoid and POTENT mineralcorticoid
Features of Addison’s disease
Hypo Na + Hyper K
Hypoglycemia
Metabolic acidosis
In preparation of excision if pheichromocytoma, alpha blockade given first then BB, what are signs of adequate alpha blockade?
Orthostatic hypotension
Decreased Hct
What dose pheochomocytoma secrets?
Epi and NorEpi
DOC for management of hypertension during pheochromocytoma is …
Nitroprusside.
Phentolamine has longer onset of action and longer duration of action
Carcinoid syndrome presents with … and may result in … during resection.
Diagnosed by …
Carcinoid crisis treated with …
Diarrhea, wheezing, flushing, abdominal pain, tricuspid/pulm stenosis
Sever hypotension and bronchospasm during resection
5 HIAA
Octreotide (somatostatin analogue)
Cardiovascular effect of hyperthyroidism
SVT, AF
Wide pulse pressure
Decreased SVR
Mgmt of hyperthyroidism crisis
O2 Hydration Cooling Propranolol Methimazole/PTU
Blood Ca and Po4 levels in following
Hyperthyroidism
Hyperparathyrodisim
Hyperparathyrodisim + RF
Ca increased with normal Po4
Increased Ca with low Po4
Decreased Ca with high Po4
