OME endocrine Flashcards
tx for graves dz
PTU or methimazole
tx for thyroid storm
propranolol, PTU, steroids
causes of cushing syndrome (4)
ACTH: pituitary vs ectopic, iatrogenic, adrenal tumor
cushing syndrome initial test
no suppression w/ low dose dex supp test
+ late night salivary cortisol OR 24hr urine
cushing syndrome w/ nml ACTH
primary hypercortisolism (adrenal tumor)
cushing syndrome w/ high ACTH
high dose dex supp test
- fails = ectopic
- suppressed = cushing dz
acute presentation hypocortisolism: BP, etc
hTN, N/V, coma
chronic presentation addisons: BP, Na, K
hTN, low Na, high K
addisons initial test
AM cortisol = low
addisons secondary test
cosyntropin stim test
inc cortisol = ant pituitary
no change = adrenal -> image
tx for addisons
cortisol + fludrocortisone (if adrenal)
HTN + hypokalemia
Conn’s syndrome (hyperaldo)
aldo:renin <10
renovascular
aldo:renin >30
conn’s syndrome
HA, HTN, palpitations, sweating
pheo
