Endocrine reverse Flashcards
CRF
Diabetic w/ anorexia, anemia, wt loss, pallor
Diabetic neuropathy (treat with TCA - amitriptyline)
Gastroparesis, impotence, recurrent infections, stocking-glove paresthesia
Give thiamine before glucose to prevent Wernicke’s encephalopathy
Hypoglycemia in alcoholics
Hyperparathyroidism
“Stones, bones, abdominal moans, and psychiatric overtones”
Hashimoto’s thyroiditis
Decreased radioactive iodine uptake, decreased T4, increased TSH
Hyperthyroid (work it up with TSH, T4)
Female, weight loss, palpitations, atrial fibrillation
Hyperthyroid, Graves Dx - Tx w/ radioactive iodine
Exophthalmos, palpitations, wt. loss, elevated radioactive iodine uptake
Recurrent laryngeal nerve = hoarseness
Post thyroidectomy - most likely injury
Hypocalcemia
Chvostek and Trousseau’s sign
Post thyroidectomy - potential electrolyte imbalance
Congenital hypothyroidism
Infant with round face, large protruding tongue, dry skin, umbilical hernia, constipation, enlarged abdomen, poor feeding, delated developmental milestones
Hashimoto’s
Autoimmune cause of hypothyroidism
Pheochromocytoma - Tx pre-op w/ alpha blocker
Recurrent HA, HTN not responding to meds, sweating
Attacks of severe HA, HTN, glucosuria
Urinary catecholamines, urinary metanephrines
Hypothyroidism
Wt. gain, edema, coarse dry skin, hair, menorrhagia, cold intolerance
Hypoparathyroidism
Tetany, hypocalcemia, cataracts
Fine needle biopsy
Dx test of choice for thyroid nodule
Cushing syndrome
Exogenous corticosteroid use
Cushing syndrome*
Central obesity, abdominal striae, hyperglycemia, moon facies, buffalo hump, easy bruising
Addison’s disease, crisis (low aldosterone; get Random or AM cortisol, ACTH stimulation test)
Worsening fatigue, wt loss, weakness, recurrent abdominal pain, hair loss, hyperpigmentation. Hyponatremia, hyperkalemia
Diabetes insipidus
Polyuria, polydipsia. Dilute urine, hypernatremia
Cushing’s
Rounded face, buffalo hump, hirsutism
Addison’s disease
Adrenal hypofunction
Hyperpigmentation of the skin - hand creases, dental-gingival. muscle weakness and fatigue, wt. loss
