Endocrine & Metabolic Book Flashcards
GHD
decreased acitivty of pituitary gland
aka: hypopthyroidism
growth hormone is screted from anterior pit
GHD s/s
1 year old: 3% on growth
- normal at birth weight
hyponatremia
hypoglycmeia seizures
undecsenced testes
slipped carpital femoral epiphysis
GHD tx
growth hormone
- 6-7/wk subq
- administer at night
continuted until acceptable ht or growth velocity drops to less than 2cm, bone age over 14 year for girls for 16 for boys
GHD rf
hypothyroid
turners
cushings
precoucoius puberty
apperence of any 2ndary sexual characteristic
- 8y/o girls. 9y/o boys
thelarche
breast
menarhce
period
adrenarche
hair
precousious puberty
mood swings
emotional lability
XR on percousious puberty
advanced bone age
growth ceases premature, since homrones cause closure of epiphyseal plates
percousious puberty
GnRH analog
- tx continues until normal age of puberty is reached 11-12
education on percousious puberty
childs, social, cognitive, and emotional development is age
hypothyroidism
decrease thyroid hormone
hypothryroidism s/s
delayed growth
jaundice
thick tongue
hypotonia
hoarse cry
dry skin
goiter
cold
increase wt
decreased height velocity
hypothyroid labs
decreased t3/t4
increased tsh
hypothyroid tx
levo
- dose increase with age to ensure euthyroid = thyroid hormone in app balance
hyperthyroidism
increase thyroid hormone
graves
hyperthyroidism s/s
goiter
bluging eyes
eyelid lag
tachycardia
nervousness
increase app
wt loss
moodiness
hot
hyperthyroidism
T3/4 increase
TSH decrease
hyperthyroidism tx
methimazole
radiation
surgery