Endocrinology Flashcards
Most common cause of Hypothyrodism
Hashimoto’s Thyroiditis
Lab finding in Hashimoto’s Thyroiditis
- High TSH
- Low T4
- Antimicrosomal Antibodies
Exophthalmos
Pretibial Myedema
Decrease TSH
Grave’s Disease
Most common cause of Cushing’s Syndrome
Iatrogenic corticosteroid administration
The second most common cause is Cushing’s disease
Pt presents with signs of:
- Hypocalcemia
- High Phosphorus
- Low PTH
- Hypoparathyrodism
Stones
Bones
Groans
Psychiatric Overtones
Hypercalcemia
Pt complains of:
- Headache
- Weakness
- Polyuria
Exam reveals
- HTN
- Tetany
Labs
- Hypernatremia
- Hypokalemia
- Metabolic Alkalosis
1 Hyperaldosteronism
Pt with:
- Tachycardia
- Wild swings in BP
- headache
- Diaphoresis
- Altered mental status
- Sense of panic
- Pheochromocytoma
Should Alpha or B antagonists be used in treating pheochromocytoma?
Alpha Antagonists
Phentolamine or Phenoxybenzamine
Pt with hx of lithium use presents with copious amounts of diluted urine
Nephrogenic DI
Tx of Central DI
Administration of DDAVP
Decrease serum osmolality
Free water restriction
Postop Pt with significant pain presents with
- Hyponatremia
- Normal volume status
- SIADH due to stress
Antidiabetic agent associated with Lactic Acidosis
Metformin
Pt presents with
- Weakness
- N/V
- Weight loss
- New skin pigmentation
Labs
- Hyponatremia
- Hyperkalemia
Tx?
1 Adrenal Insufficiency (Addinsons)
Tx
- Replacement of Glucocorticoids
- Mineralocorticoids
- IV Fluids
Goal HbA1c for a patient with DM
< 7.0
