EndoCRINGEology

Question 1

Common Addissonian labwork changes (lytes, WBCs)

Answer 1

• Increased K
• Low NA
• 10-15% have increased EOs and lymphs

Question 2

Sympathetic Nervous System - Two main hormones

Answer 2

Norepi

Epi

Question 3

Sympathetic Nervous System - three effects

Answer 3

Fight or Flight:

• Increased HR
• Increased CO
• Increased bloodflow to skeletal muscles (to RUN FORREST RUN)

Question 4

Sympathetic Nervous System - overstimulation causes damage to what?

Answer 4

damage to the heart

Question 5

Name the three pancreatic enzymes and what each one hydolyzes

Answer 5

Amylase - Carbs
Lipase - Fat
Tripsyn - protein

Question 6

What is the function of Glucagon?

Answer 6

Increases Blood Glucose (Gluca-Gone-WAY UP)

Question 7

Name three causes of the pancreatitis aside from fatty meals?

Answer 7

Stress
Foreign Body
Trauma
Hypoperfusion

Question 8

What is the most common comorbidity for pancreatitis?

Answer 8

Diabeetus

Question 9

Name two poor prognostic indicators for pancreatitis on presentation

Answer 9

Acidotic

Hypothermia

Question 10

Why do some pancreatitis cases become icteric?

Answer 10

The inflamed panc covers up the common bile duct

Question 11

Why feed pancreatitis patients early on?

Answer 11

To give the enzymes something else to digest besides the panc…… gross

Question 12

Hypotension can upset what sensitive organ?

Answer 12

The pancreas!

Question 13

Gallbladder mucocele can be compared to what dz process as far as expansion?

Answer 13

GDV - necrosis

Question 14

The liver is the GREAT_________

Answer 14

detoxifyer

Question 15

Lepto patients needing ________ have a poor prognosis

Answer 15

Dialysis

Question 16

Triaditis includes….

Answer 16

• Liver
• Pancreatitis
• Gallbladder

Question 17

Hepatic failure can regenerate _____% over a few weeks

Answer 17

75%!

Question 18

Encephalopathy can occur at what percent of liver failure?

Answer 18

70%

Question 19

Liver failure is a _____ issue. It has to be treated supportively

Answer 19

Filtration issue

Question 20

Mineralocorticoid associated with adrenocorticisms and what it does

Answer 20

ALDOSTERONE
promotes sodium reabsorption
excretes potassium

Question 21

Glucocorticoid and four things it’s responsible for

Answer 21

CORTISOL - calm inflammation

• appetite
• BG
• BP
• handling stress

Question 22

What percent of adrenal function must be compromised before seeing clinical signs?

Answer 22

90% - wowza

Question 23

What steroid will NOT affect ACTH stim results?

Answer 23

Dex Sp

Question 24

Glucocorticoid medication that should be kept on hand for stressful situations

Answer 24

Prednisone

Question 25

Mineralcorticoid medication

Answer 25

DOCP/ - Percorten

Question 26

Mineral AND Gluco med

Answer 26

Florinef

Question 27

Calcium will convert protein bound Ca+ to ionized Ca+ in what state?

Answer 27

acidosis

Question 28

How does parathyroid hormorne get more calcium?

Answer 28

mobilizes it from the bone to circulating

Question 29

HHS parameters (BG, ketones, osmolality)

Answer 29

BG >600
Negative urine ketones
Osmolality >350

Question 30

Hypercalcemia can be a lab abnormality in Addison’s…. why?

Answer 30

THE MECHANISM IS UNCLEAR.

But it is. SO THERE.