Endocrine Surgery Flashcards
Thyroid cancer is best diagnosed via? Which thyroid cancer is not easily detected by this method?
- FNA
- follicular
Why is a total thyroidectomy done in the case of follicular thyroid cancer?
Follicular cancer takes up radioactive iodine in the absence of thyroid tissue, so this can easily diagnose future relapses
Medullary thyroid cancer would indicate workup for this other tumor?
Pheochromocytoma
The best workup for Cushing’s disease is?
Overnight low dose dexamethasone suppression test, 24-hour urine cortisol, high dose dexa suppression test.
High dose dexamethasone suppression in Cushing’s patients indicates?
Pituitary microadenoma
Zollinger ellison patients present with these symptoms?
Virulent peptic ulcer disease, medication failure, watery diarrhea
What will blood levels look like in a patient with an insulinoma?
High insulin and high C-peptide after eating
A Devastating syndrome in a newborn that results in large insulin secretion is known as?
Nesidioblastosis
-requires 95% pancreatectomy
A patient with resistant migratory necrolytic dermatitis likely has?
Glucagonoma
The key clinical picture of a patient with primary hyperaldosteronism is?
A female patient who has hypokalemia and hypertension
How would a pheochromocytoma be diagnosed? Treated?
24-hour urine VMA, metanephrines, and catecholamines
Treat with an alpha blocker and then surgery
A young female with Turners syndrome presents for her well child check. She is found to have hypertension. You check the blood pressure in her legs and find a normal BP. Curious, you order a CXR. What are you expecting to see? What other imaging should be done?
Scalloping of ribs on CXR
Order spiral CT to diagnose coarctation of the aorta
What two patient populations suffer from renal hypertension?
- young females with fibromuscular dysplasia
- old men with atherosclerosis
