ENS Flashcards
Cushings
Def
Having excess cortisol hormone ACTH. Cortisol helps respond to stress and reduce inflammation
Cushings
Cause
Tumor on pituitary or adrenal gland = increased ACTH that increases Cortisol
Taking corticosteroid meds - used to treat asthma, RA - = Apart of negative feedback which shuts down cortisol production = Decrease ACTH as it caused the adrenal gland to shrink
Cushings
Population
Women, 30-40
Cushings
RF
Overweight, uncontrolled T2D, HBP
Cushings
S&S
S - Skin fragile
T - Trunk obesity from increased insulin
R - Round face, Reproductive issues (periods)
E - Elevated BP
S - Sugar level high
S - Stretch marks (purple)
E - Excessive body hair
D - Dorsocervical fat pad (neck hump),
depression / Mood swings
GI distress = increased acid
Osteoporosis
Cushings
Diagnosis
24hr urine sample for cortisol amount
Blood / saliva test at night
ACTH plasma level check = decreased ACTH shows issues from the drugs
an increased ACTH can be from issues of disease/tumor
MRI of glands
Cushings
Treatment
Tumor removal with steroid inhibitors
reduce steroids slowly
Addisons Disease
Def
Adrenal glands dont make enough cortisol or aldosterone which is a failure of the adrenal cortex
Addisons Disease
RF
Cancer, taking blood thinner, TB, T1D
graves disease
Addisons Disease
s&s
S - Sodium and sugar levels low = crave salt
T - Tired and weakness
E - Electrolyte imbalance
R - Reproductive issues - periods
O - lOw BP
I - Increased pigmentation brownish from
overactive pituitary gland
D - Diarrhea, depression
fatigue / tiredness
fever
confusion
dehydration
hair distribution changes
Addisons Disease
Causes
immune system issues - starts attacking adrenal cortex = damage = decreased cortisol
TB
Infection
Cancer
Hypothyroidism
def
Underactive thyroid gland
Hypothyroidism
s&s
intolerance to cold
weight gain
hairline/hair loss/hair brittle
extreme fatigue
face edema
thickened tongue - affects speech
muscle pain
dry skin
constipation
heavy periods
slowed heart rate
Hypothyroidism
cause
autoimmune diseases - diabetes
radiation - cancer treatment
thyroid surgery
pregnancy
Hypothyroidism
s&s
intolerance to cold
weight gain
hairline/hair loss/hair brittle
extreme fatigue
face edema
thickened tongue - affects speech
muscle pain
dry skin
constipation
heavy periods
Hyperthyroidism
Def
Overactive thyroid gland
Hyperthyroidism
s&s
intolerance to hot
Increased weight
missed/irregular periods
diarrhea
straight thin hair
localised edema
increased blood pressure and heart rate
tremors
increased breasts
hot face flashes
muscle wasting
–
Untreated hyperthyroidism can lead to weak, brittle bones. This condition is called osteoporosi
Hyperthyroidism
cause
Graves’ disease is an autoimmune disorder that causes the immune system to attack the thyroid gland. That prompts the thyroid to make too much thyroid hormone. Graves’ disease is the most common cause of hyperthyroidism.
Overactive thyroid nodules
