Endocrinology Flashcards
Diabetes insipidus
Urine osmolality low
Plasma osmolality high
Long standing uncontrolled type 2 DM
Increased lethargic
Low mood
Nausea
Vomitting
Painful renal colic
Pth raised
Hyperplasia of parathyroid
Pth raised
End stage renal kidney disease
Hyperplasia of parathyroid gland
BP:160/92
Headaches
Palpitations
Sweats
Episodic
24 hour catecholamines
(Pheochromocytoma)
Pheochromocytoma
Palpitations
Headaches
Flushings
24 HR urinary collection catecholamines
Hip fracture
Fracture distal radius
T score dexa - 2.8( less than -2.5 lower)
(Osteoporosis)
Alendronic acid
Fbs-7.4
No Polydipsia or
Polyuria
No medical issues
2 fasting venous plasma glucose abnormal in asymptomatic to be diabetic
TSH is high
Lethargy
Dry skin
Hypothyroidism
Start levothyroxine
Squamous cell carcinoma lung
Confused
Lethargy
Weakness increased
Repeated falls
Intravenous, 0.9%, normal saline
Squamous cell carcinoma
PTH molecules production
Intravenous 0.9 % normal saline
Hypercalcemia
Shortening of QT interval
Confused
Lethargy
Increased weakness
Repeated falls
Hypercalcaemia
Iv 0.9% Normal saline
RTA
Trauma head
Thirst -polydypsia
Increased urination- polyuria
5 LTRs fluid per day
Urinate at night
Sodium - 154 (hypernatremia)
Creatnine- 80
eGFR ,>90
Plasma Osmalilty
Diabetes insipidus
Hypercalcemia>2.6
Osteoporosis or fractures
Parathyroidectomy
Excessive vomiting
Hypokalemia
Cushing’s disease
Bilateral adrenal enlarged
Pain legs and hips
Hypocalcemia
Alp raised
Vitamin D supplements
Osteomalacia
Hypothyroidism can cause
Hyperprolactinemia >450
Vitamin D deficiency causes
Raised alp
Osteomalacia
Muscle aches
Ace inhibitor causes
Hyperkalemia>5.5
Pheochromocytoma
Raised BP
Raised HR
Profuse sweating
Which hormone is raised
Adrenaline
Hyperaldosteronism
Investigation?
Aldosterone: renin ratio
Worsening headaches
Visual disturbance
Lack energy
Prolactin raised
MRI 15mm tumor pituitary fossa
Carbogeline not effective
Treatment ?
Transphenoidal surgery
Cushing’s syndrome
Overnight dexamethasone suppression test
Heart failure
Diabetes
Empagliflozin
(Sglt -2 inhibitor)
Metformin
Diabetic neuropathy
Dulexetine(selective re uptake inhibitor
Calcium
2-3