Endocrinology Flashcards
1
Q
What is diabetic amyotrophy?
A
A form of diabetic neuropathy characterised by severe aching or burning pain in hips and thighs, followed by asymmetrical weakness and wasting of the muscles of proximal lower extremities
2
Q
What is Conn’s syndrome?
A
Primary hyperaldosteronism caused by an aldosterone-producing adenoma
3
Q
What is the classic presentation of primary hyperaldosteronism?
A
- Hypertension
- Nocturia and/or polyuria
- Lethargy
- Mood disturbance
- Weakness
- Paraesthesia
- Muscle cramps
4
Q
What investigations support a diagnosis of primary hyperaldosteronism?
A
- Plasma K = normal to low
- Aldosterone/renin ratio = high aldosterone, low renin
5
Q
What is the management of primary hyperadlosteronism?
A
- Surgery = adrenalectomy
- Medical = amiloride or spironolactone
- Immunosuppressive (familial PHA) = glucocorticoids (dex or pred)
6
Q
What is the treatment for hypoglycaemia in a hospital setting in a person who is unconscious?
A
75ml 20% glucose by IV infusion
