Metabolic and endocrine Flashcards
1
Q
ABG you will see in DKA
A
Metabolic acidosis with increase anion gap
2
Q
Causes of increased anion gap
A
MUDPILES Methanol Ureamia DKA Propylene glycol Iron/isoniazide Lactate Ethylene glycol Salicylates
3
Q
Most common causes of hypothyroid?
A
Developed world: Hashimotos
Developing world: iodine def
Also: treatment for hyperthryoid
4
Q
Drugs that can make pts hypothyroid?
A
Anything that treats hyperthyroid eg carbimazole
Also, lithium and amiodarone
5
Q
Presentation of hypothyroid
A
Weight gain Fatigue Amenorrhoea Constipation Fluid retention (ascites, pleural eff) Hair loss + coarse hair Heat intolerance
6
Q
thyroid resultsfor primary and secondary hypothryoid?
A
Primary:
Low T3/T4, high TSH (no negative feedback to brain)
Secondary:
Low T3/T4, Low TSH (pituitary pathology that results in low TSH, T3 and T4)