Endocrine Overview 7

Question 1

What are some of the NM/MSK s/s seen with endocrine dysfunction?

Answer 1

• Muscle weakness, myalgia, and fatigue
• Bilateral CTS or Tarsal Tunnel Syndrome
• Periarthritis and calcific tendinitis
• Chondrocalcinosis
• Spondyloarthropathy and OA
• Hand stiffness and pain

Question 2

What might muscle weakness, myalgia, and fatigue signal?

Answer 2

• thyroid or parathyroid disease

- Acromegaly, diabetes, Cushing’s syndrome, osteomalacia

Question 3

What happens with proximal muscle weakness (painless) once underlying endocrine function is addressed?

Answer 3

strength may or may not be restored

Question 4

Who gets B CTS most often?

Answer 4

• women at or near menopause

- soft tissue changes at wrist secondary to hormone changes

Question 5

Why do pts with acromegaly get CTS?

Answer 5

Thickening of transverse carpal ligament in certain systemic disorders

Question 6

Bilateral CTS can come about with any condition that does this:

Name an example of such a condition

Answer 6

• increases volume of contents of the carpal tunnel

- gout

Question 7

Multiple causes of CTS - what usually brings the problem to light?

Answer 7

• repetitive motion

- occupational factors

Question 8

What are some screening questions you may ask when a pt has B CTS?

Answer 8

• Pain, N/T in feet?
• abdominal pain since onset of CTS?
• Changes in energy level
• Unusual weakness
• recent, unintentional WL?
• On cholesterol meds?
• hx of liver disease?

Question 9

Liver flap

Answer 9

looks like clonus in the hand

Question 10

NM/MSK s/s of endocrine disorder: periarthritis and calcific tendinitis

Answer 10

• Especially at the shoulder

- If cause is an underlying endocrine dysfunction, PT will not be effective

Question 11

NM/MSK s/s of endocrine disorder: chondrocalcinosis

caused by

Answer 11

deposits of calcium salts in cartilage of joints

pseudogout

Question 12

NM/MSK s/s of endocrine disorder: How likely is a person with chondrocalcinosis to have underlying endocrine disease?

Answer 12

5-10% of people with this disorder have endocrine disease

Question 13

NM/MSK s/s of endocrine disorder: Spondyloarthropathy and OA are associated with

Answer 13

• hemachromatosis
• DM
• Acromegaly

Question 14

NM/MSK s/s of endocrine disorder: Hand stiffness and pain

Answer 14

Often with CTS and flexor tenosynovitis