Endocrine Buzzwords

Question 1

Catecholamines in urine, headaches, hypertension and palpitations

Answer 1

phaeochromocytoma

Question 2

Tanned skin without being on holiday

Answer 2

Addison’s

Question 3

Increased shoe size, ring too tight, spade hands

Answer 3

Acromegaly

Question 4

Signs of hyperthyroidism plus eye changes, gritty eyes, smooth velvety skin

Answer 4

Grave’s disease

Question 5

Moon face, proximal weakness, stretch marks, buffalo hump, abdominal fat

Answer 5

Cushing’s

Question 6

Ketones on breath

Answer 6

DKA

Question 7

Deep, laboured breathing (kussmaul sign)

Answer 7

metabolic acidosis (esp DKA)

Question 8

‘Orphan annie nuclei’

Answer 8

Papillary thyroid carcinoma

Question 9

Bone pain, kidney stones, abdominal pain, psychiatric problems

Answer 9

Hypercalcaemia

Question 10

Psammoma bodies

Answer 10

Papillary thyroid cancer

Question 11

Butterfly rash

Answer 11

SLE

Question 12

Anosmia and isolated GnRH deficiency

Answer 12

Kallmann Syndrome

Question 13

Trousseau Sign, Chvostek sign, prolongation of QT

Answer 13

Hypocalcaemia

Question 14

Acute management of hypocalcaemia

Answer 14

IV calcium gluconate (10ml of 10% in 50% dextrose or saline)

Question 15

Brachydactyly of 4th metacarpal

Answer 15

Pseudohypoparathyroidism