Endocrine random Flashcards
3 stages of post partum thyroiditis
Thyrotoxicosis -> rebound hypothyrodiism -> normal function
High recurrence rat e
First line for PP thyroiditis
Propanolol
Features of PP thyroiditis
Upper quadrant visual degect cause
Inf chiasmal compression - pituitary tumour
Lower quadrant visual defect cause
Sup chiasm
Craniopharyngioma
Antibodies in PP thyroiditis
TPO antibodies
What patients is teriatry PTH classically seen in
Dialysis patients
What does PTH do to phosphate
Decrease absorption - phophate binds calcium and PTH wants to increase it so PTH gets rid of phosphate so more free calcium
Primary vs secondary hyperPTH phosphate level and calcium
Phosphate is high in secondary, low in primary
Calcium high in primary, normla or low in secondary, high in tertiary
Managemet of post fragility fracture for post menopausal women and >50men
Immediate bisphophonate and vit D
No need for DEXA scan first, most likely to have another fragility fracture straight after
Need to give with supplements otherwise initally bisphophonates make levels worse
What eGFR is bisphosphonates CI in
<35
What treat prolactinaemia with
Bromocriptine - doapmine agonsists
Pulmonary fibrosis drugs - my nose definitely breathes bad air
methrotrxate
Nitro
Bleomycin
Busulfan
Amiodarone
Features of adrenal crisis
Metabolic acidosis - secrete H+ in place of K+
Hyponatremia
Hyperkalemia
Shock features
Hypoglycaemia
Aldosterone
Absorb water with sodium
