Endocrine med screening

Question 1

pituitary symptoms

Answer 1

-poor appetitude, nausea, fatigue, high thirst
-variable: changes in libido, growth delays

Question 2

cushing syndrome

Answer 2

increased cortisol
- linked to long term steroid use
- UE obesity, round face and neck, thin LE
- HBP
-skin problems: acne, reddish blue streaks
-msucle and bone weakness

Question 3

addisons

Answer 3

decreased cortisol
- autoimmune
-weight loss
-Low BP
-pathces of dark skin
-weakness
-fatigue
-nausea/vomit
-craving for salt
-dizziness when standing

Question 4

Type 1 DM

Answer 4

-deficient insulin production
- childre, young adults

Question 5

type 2 DM

Answer 5

-adults >40, younger with childhood obseity
-defective insulin production
-

Question 6

parathyroid

Answer 6

hypo= low calcium
hyper= elevated blood calcium, benign tumor

Question 7

risk factors for hypo parathyroid

Answer 7

recent neck surgery

Question 8

4 elements of metabolic syndrome

Answer 8

1. central obesity
2. increased triglycerides and reduced HDL
3. hypertension
4. glucose intolerance

Question 9

T scores

Answer 9

normal: -1.0 or above
osteopenia: -1.0 to 2.5
osteoporosis: -2.5 or less
severe: -2.5 or less with one or more fragility fx