Endocrine Disorders

Question 2

DM SxS

Answer 2

Acute: excess thirst/urination, fatigue, weight loss, vision problems, headaches/dizziness

Chronic: neuropathy, retinopathy, nephropathy, atherosclerosis

Question 3

DM PT Implications

Answer 3

> 300: postpone exercise session, adjust insulin

< 100: snack and retest before exercising

-closely monitor BP if retinopathy, HTN
- Distal sensory screening for neuropathy

Question 4

Hyperthyroidism

Answer 4

• weight loss, fatigue, excessive sweating, diarrhea, palpitations, hyperreflexia, tremor, and exophthalmos
• A fib, CHF, MI
  (Graves Disease: autoimmune)

Question 5

Hypothyroidism

Answer 5

• weight gain, hair loss, fatigue, bradycardia, constipation, anemia, carpal tunnel, fibromyalgia, depression
• Chronic: forgetfulness, myxedema, coma/death

Question 6

Hyperparathyroidism

Answer 6

• bone decalcification
• pathologic fratures
• weakness/fatigue
• joint hypermobility
• peptic ulcer, pancreatitis
• renal calculi, renal failure
• memory, depression, personality changes

Question 7

Hypoparathyroidism

Answer 7

• muscle weakness, pain, tetany
• Trousseau sign (carpal spasm)
• Chvostek sign (fascial spasm)
• Cardiac arrythmia
• seizure
  ** acute = life threatening

Question 8

Hypercortisolism Types

Answer 8

Cushing’s syndrome: increased cortisol production by adrenal gland or an excess of corticosteroid medication
- Cushing’s disease: pituitary tumor = increased ACTH

Question 9

Hypercortisolism Sxs

Answer 9

Moon shaped face, buffalo hump, truncal obesity, slender limbs, thinning of skin, hair loss
- myopathy
- hyperglycemia
- HTN and edema
- osteoporosis

Question 10

Adrenal Insufficiency - Cortisol

Answer 10

• personality changes, bronze skin, hypoglycemia, susceptible to infection

Question 11

Adrenal insufficiency - aldosterone

Answer 11

increased sodium secretion, dehydration, hypotension, diarrhea, abdominal pain