Endocrine, Diabetes, Metabolism

Question 1

Post-op development of Hypotension/shock. N/V/abd pain. Weakness, fever.

Pt has round face, buffalo hump, central obesity.

Answer 1

Acute adrenal insufficiency

Question 2

ECG shows normal sinus rhythm with prolongation of corrected QT interval to 510msec (nml <460msec). ML diagnosis?

Answer 2

hypocalcemia

i.e. after thyroidectomy for graves

Question 3

hypocalcemia symtpoms

Answer 3

fatigue, anxiety, depression

tetany

Question 4

hypoparathyroidism results in what electrolyte abnormalities?

Answer 4

hypoCa, hyperPhosphorus

Question 5

perioral tingling and numbness, muscle cramps, tetany, carpopedal spasms, seizures

Answer 5

hypocalcemia