ER EOR endocrine Flashcards
what is the name for extreme cause of hyperthyroidism
thyroid storm
how do you tx thyroid storm
MME, PTU
how do you tx myxedema crisis
levo
loss of eyebrow hair is hyper of hypo thyroid
hypo
menorrhagia is hypo or hyper thyroid
hypo
what is the name for congenital hypothyroisism
ctreinism
what is the graves disease antibidy
thyroid stimulating ab
tousseau and Chvostek’s sign are associated with what metabolic abnormality
hypocalcemia
what is the MC cause of hyperparathroidism
parathyroid adenoma
what is the metabolic dysfunction with hyperparathyroidism
- hypercalcemia
what would you see on exam for hypercalcemia
stones bones abdominal groans psychiatic overtones decreased DTR
what is the relationship between DTR and calcium
inverse
what is the issue with renal osteodystrophy
the kidneys are not working right so they cannot eliminate phosephate
renal osteodystrophy on X ray
salt and pepper appearance
- cystic brown tumors
rickets is a decraese in what viamin
D
what is the location of addidions disease
at the adrenal
what hormones or hormone is affected in addisons
aldosterone and cortisol
what medication may cause addisons
ketoconazole
what are the three metabolic dysfunctions you see with primary addisons
- hyponateremia
- hyperKalemia
- hypoglycemia
what test to differentiate between primary and secondary adrenal insufficiency
CRH
what test to dx adrenal insufficiency
ACTH stimulation
tx for primary adrenal insufficiency (addisons)
hydrocortisone and fludrocortisone
tx for secondary adrenal insufficiency
hydrocortisone
what is above the pituitary in the order of metabolic operations
hypothalamus
what is the difference between cushing disease and cushings syndrome
- disease is from the pituitary
cushing disease produces too much of what hormones
ACTH
what is the metabolic chnage with potassium and cushings
hypokalemia
what are the three tumors that will cause inc in cortisol
- pituitary (cushings disease)
- ACTH (small cell lung cancer)
- adrenal tumor
what medication will supress an adrenal tumor
ketoconazole
what type of increased cortisol cathology will supress during dexamethasone supression test
- cushings disease
what is the 4 popcorn findings or DMII
- polydipsea
- polyphagia
- polyuria
- weight loss
what is the DM II a1C
> 6.5
what DM II medication do you need to be worried about for hypoglycemia
glipizide (sulfonurea)
who can you not give metformin to
if there is hepatic or renal impairment
what us the glucose level with HUS
> 600
what on PE may you see with HUS and not DKA
mental status changes
what do you see kussmauls respiration with
DKA
how do you tx hypo thyroid
Levo
is thyroiditis hyper or hypo thyroid
hypo
how do you tx neohrogenic DI
HCTZ
how do you tx central DI
desmopression (synthetic ADH)
large amount of dilute urine
DI
what three meds do you give for DKA, HUS
fluids
insulin
postassium
Inc Glucose > 250 AND
PH > 7.3
HHS
