Endocrine Formative Flashcards
How much oily fish, F&V, exercise and alcohol a week for a healthy lifestyle?
Aim for:
- 1 portion of oily fish a week
- 150 minutes of moderate exercise a week
- 5 portions of F&V a day
Don’t drink >14 units a week
Which of these isn’t part of hypoglycaemia:
- Itch
- Headache
- Sweating
- Irritability
- Loss of Conc.
Itching!
23 yr old hyperthyroidism patient started on Carbimazole. What does he need counselling on regaring his medication?
Potential side effects:
- Rash
- Agranulocytosis - Causes !Neutropenia!
38 yr old women:
- Tanned
- Tired
- Dizzy
- Hyperkalemic
- Hyponatremic
- Hypocortisolaemic
- Normal Ca2+
- Normal TFTs
Whats she got?
ADDISON’s!
High K+ and low Na+ are typical electrolytes of addison’s. The lack of aldosterone means your not resorping Na+ or excreting Potassium in the kidneys.
Tanned = Hyperpigmentation
Fatigue is common in addison’s
Dizzy may be down to hypotension due to Na+ loss
Low cortisol due to adrenal insufficiency
Which of the following doesn’t cause Secondary DM?
- Haemochromatosis
- Chronic Pancreatitis
- Addison’s Disease
- Cushing’s Disease
- Acromegaly
Addison’s, loss of cortisol can actually risk hypoglycaemia
Haemochromatosis - Fe2+ infiltrating pancreas can limit insulin release
Pancreatitis - Damages Beta Cells
Cushing’s Disease - Excess cortisol increases gluconeogenesis, lipolysis, proteolysis and action of glucagon
Acromegaly - GH increases gluconeogenesis & lipolysis
What is the first diagnositic test done on a diabetes patient and do you need a fasting sample?
Random Blood Glucose
Won’t need a fasting sample if the random sample is +ve (>11.1mmol) and the patient has symptoms
