Metabolic Flashcards
Common cause of seizure in diabetics is
Hypoglycemia
What blood glucose would result in coma?
<2
Treatment for hypoglycemia
Glucose, D50 1 amp (=50mL, =25g) IV
Symptoms of hyponatremia start at Na
125-130
What is the main risk to the brain with hypernatremia?
Rapid decrease in brain volume can cause hemorrhages (subarachnoid and intracerebral) and irreversible neurologic damage
Why does alcohol withdrawal cause seizures?
Autonomic hyperactivity due to removal of alcohols inhibitors effects
When would an alcohol induced seizure occur after stopping drinking?
Within 12-48 hours after last alcoholic beverage
Genetic disease that presents in adulthood and looks like COPD and liver disease
Alpha 1 antitrypsin deficiency
Patient with hyperthyroid sx, suppressed TSH, and “hot” thyroid nodule
Toxic adenoma
Treatment for toxic adenoma and multinodular goiter
Beta blocker and thionamide (methimazole)
If left untreated patients with severe hyperthyroidism can develop
Rapid bone loss, OP, hypercalcemia and hypercalciuria
Fetal hyperthyroidism can be seen in patients with active
Graves’ disease
Diagnostic findings for chronic autoimmune thyroiditis (hashimotos)
Positive TPO antibody, variable radioiodine uptake
Diagnostic findings for painless (silent) thyroiditis
Positive TPO antibody, low radioiodine uptake
Diagnostic findings for subacute