IM Endo

Question 1

Most commonly caused by a decrease in ADH production

Diagnosis is made by water deprivation test: > 50% increase in urine osmolality

Treatment is intranasal DDAVP

Which dz?

Answer 1

Centra DI

Question 2

Most commonly caused by renal unresponsiveness to ADH

Diagnosis is made by water deprivation test: no change in urine osmolality

Treatment is HCTZ,amiloride,indomethacin

Which dz?

Answer 2

nephro DI

pt has hx of taking lithium

Question 4

thyrotoxicosis in its extreme form

Answer 4

Thyroid storm

Question 5

hyperpyrexia, nausea, vomiting, diarrhea, mental status changes, jaundice, high-output congestive heart failure, cardiac tachyarrhythmias, hypertension, and diaphoresis.

sxs of what dz

Answer 5

thyroid storm

Question 6

What causes Jaundice happen in Thyroid storm?

Answer 6

jaundice is the result of hepatic tissue hypoxia due to increased peripheral consumption of oxygen and unmet oxygen needs of the hepatocytes

Question 7

Thyroid storm Tx (3)

Answer 7

propanolol

propylthiouracil (PTU)

iodine administration

Question 8

what is seen on PE of thyroid storm

Answer 8

PE will show goiter, lid lag, hand tremor, and warm, moist skin

Question 9

what will labs of thyroid storm show?

Answer 9

low TSH and high free T4 or T3