Internal Med Endocrine Flashcards
1
Q
etiology of acromegaly
A
- adenoma (Of pituitary?)
- GH excess
2
Q
s/s of acromegaly
A
- large forehead
- large hands
- cardiomegaly
- large nose
3
Q
diagnosis of acromegaly
A
GH suppression test
4
Q
treatment of acromegaly
A
- surgical resection
- somatostatin analogues (ocreotide)
- dopamine agonists (bromocriptine or cabergoline)
5
Q
etiology of addisons disease
A
autoimmune
6
Q
s/s of addisons disease
A
- hyperpigmentation
- hyponatremia
- hypotension
- abdominal pain
- change in body hair
7
Q
diagnosis of addisons disease
A
- rapid ACTH stimulation
- plasma cortisol levels
8
Q
treatment of Addison’s disease
A
- hydrocortisone
- fludrocortisone
9
Q
etiology of cushing disease
A
- exogenous steroids
- tumor
10
Q
s/s of cushing disease
A
- central obesity
- moon face
- buffalo hump
- striae
11
Q
diagnosis of cushing disease
A
- dexamethasone suppression
- 24 urine free cortisol
- late night salivary cortisol
12
Q
treatment of cushing disease
A
- stop exogenous cortisol
- remove tumor
13
Q
etiology of diabetes insipidus
A
- primary: autoimmune
- secondary: damage to hypothalamus or pituitary stalk
- nephrogenic: defect in kidney tubules
14
Q
s/s of diabetes insipidus
A
- thirst
- polyuria
15
Q
diagnosis of diabetes insipidus
A
- fluid restriction
- vasopressin challenge test
16
Q
treatment of diabetes insipidus
A
desmopressin
17
Q
etiology of hypercalcemia
A
- malignancy
- hyperparathyroidism
18
Q
s/s of hypercalcemia
A
- stones
- bones
- groans
- psych overtones
19
Q
treatment of hypercalcemia
A
-fluids
-loop diuretics
20
Q
etiology of hypernatremia
A
- loss of body water
- increased sodium intake
