internal endocrine Level 2 Flashcards
causes of primary Amenorrhea 5
- pituitary problems: hypopituitarism, Kallmans sy
- ovarian problems: Turners syndrom; PCOS
- mayer-rokitansky-küster-hauser sy
causes of secondary Amenorrhea (5)
- pregnancy
- menopause
- hyperprolactemia
- thyroid disease
- chusings
causes for osteoporosis 6
- Menopause
- glucocorticoid therapy
- alkohol
- hyperthyroidism
- multiple myeloma
- hyperparathyroidism
how to determine hirsutism?
ferryman Galloway score
max 36 points
score of 8 = access androgens
name a few long acting insulin analogues
Insulin Glargine
insulin Determir
name hyperglycaemic emergencies
- ketoacidosis
- Hyperosmolar hyperglycaemia
- Lactic acidosis
explain ketoacidios
uncontrolled catabolism
high glucose production
high lipolyis= Keton bodies
symptoms of ketoacidosis
- hyperventilation (kussmaul)
- nausea
- vommiting
- abdominal pain
- coma
how to treat ketoacidosis?
- fluid replacement therapy
- replace insulin
- electrolytes and acidbace balance remaking
explain hyperosmolar hyperglycaemia
severe hyperglycaemia without ketosis
in DMT2 px
Different types of insulin’s used for tx
- Rapid
- Regular
- NPH
- Detemir
- Glargine
Explain when to uses which insulin
- Rapid: pre meal
- Regular: hospitalized patients
- NPH normal patients twice a day
Type 1 fredricson classification?
Familial Hyperchylomicronemia
High chylomicrons
Low LDL
Type 2 a fredicson classification?
Familial hypercholesterolemia
Defect: LDL receptor
High LDL
Type 2 b fredicson classification
Familial combined Hypercholesterolemia
Defect: LDL receptor and APO B
High LDL & VLDL