Endocrine surg Flashcards
1
Q
Thyroid CA- Eti
A
- Papillary MC
- Follicular
- Medullary
- Hurthle
- Anaplastic
2
Q
Thyroid CA- Tx
A
- Papillary: > 1.5 or hx of radiation exposure= total thyroidectomy,
3
Q
Thyroid CA- Complications
A
- Parathyroid damage- measure Ca
- Nerve damage: recurrent laryngeal
- Lifelong TSH replacement
- Screen medullary CA for MEN
- Good 10 yr survival
4
Q
Hyperparathyroid tumors- Eti
A
- HPTH d/t adenoma MC, hyperplasia or carcinoma
- Hypercalcemia- stone, bones, groans, psych overtones
5
Q
Hyperparathyroid tumors- Indications
A
- All HPTH tumors surgically removed
- Renal insufficiency
- Osteoporosis
- Age > 50
- Calcium > 1 mg/dl
- Hypercalciuria
6
Q
Hyperparathyroid tumors- Complications
A
- Recurrent nerve injury (voice change, airway obstruction)
- Neck hematoma
- Hungry bone syndrome- severe hypocalcemia
7
Q
Adrenal tumors- Eti
A
- Aldosteronoma- hyperaldosterone
- Pheochromocytoma- tumor of medulla
- Feminizing & virilizing
- Incidentaloma- benign, found on CT
8
Q
Adrenal tumor- Indications
A
- Hypersecretion of adrenal hormones- excess cortisol, aldosterone or catecholamines
