flashcard 8
diagnose:
- patient present with sore tummy and sleepiness. they have vomitted. they seem bored, as the keep sighing. mum thinks they have been sneaking sweeties
DKA
diagnose:
patient in bed 3 is barely able to speak to me, doesn’t seem to remember where they are. think they are saying they can feel their heart and feel sick
hypoglycaemia
primary hyperthyroidism treatments
b-blockers
carbimazone
thyroidectomy
hashimotos thyroiditis
chronic inflammation of thyroid leading to destruction -> hypothyroidism
most common cause acromegaly
benign tumour of pituitary
Cushings disease investigations
- pituitary imaging
- give them dexamethasone overnight
diagnose:
woman just given birth. tired, depressed, reduced libido, menstrual problems, reduced body hair, weight gain
sheehans
post partum ischaemic necrosis of pituitary gland causing hypopituitarism
cranial diabetes insipidus treatment
desmopressin (ADH)
effect of renin
increased vasoconstriction
increased blood pressure
norepinephrine aka noradrenaline function
constricts small blood vessels increasing blood pressure and increasing blood flow to coronary arteries, decreasing HR and increasing depth of breathing
Addison’s disease
autoimmune destruction of adrenal cortex resulting in inadequate amounts of corticosteroid hormone production
Addison’s treatment
spread out daily doses of corticosteroids (hydrocortisone, prednisone etc.)
treatment of differentiated and medullary thyroid cancer
thyroidectomy
levothyroxine replacement once thyroid removed
anaplastic + lymphoma thyroid cancer treatments
external radiotherapy
nephrolithiasis
kidney stones
