Other Systems Flashcards
metabolic syndrome waist circumference
> 40 in M
35 in F
metabolic syndrome triglycerides
150 or higher
metabolic syndrome HDL
<40 M
< 50 F
metabolic syndrome BP
systolic 130 and/or diastolic 85
metabolic syndrome fasting plasma glucose
> 100 mg/dL
adrenal cortex
cortisol, aldosteron
thyroid
T3+ T4
ovaries and testes
estrogen, progesterone, testosterone
prolactin
milk production in breasts
ADH/vasopression
regulates water and mineral balance
oxytocin
stimulates uterine contraction during birth
Addison’s
decreased BP
dehydration
hyperkalemia
decreased glucose
bronze skin
weight loss/anorexia
generalized weakness
intolerance to cold
anxiety and depression
Cushing’s
increased BP
water retention
hypokalemia
increased glucose
ruddy appearance/striae
weight gain/moon face
proximal weakness/atrophy
osteoporosis
buffalo hump
Cushing’s DISEASE
pituitary gland
Cushing’s SYNDROME
adrenal gland
hyperthyroidism
incr. T3/4, low TSH
increased HR
high BMR
heat intolerance
diarrhea
weight loss/ incr. appetite
increased perspiration
hyperreflexia
exopthalmos
hypothyroidisim
decr. T3/4, high TSH
decreased HR
low BMR
cold intolerance
sleepiness/tiredness
constipation
brittle nails/ dry skin
weight gain/ decr. appetite
decreased perspiration
prolonged DTR
Hashimoto’s
hyperparathyroidism
ELEVATED CALCIUM
DECREASED PHOSPHATE
osteopenia, gout, kidney stones, renal insufficicency, peptic ulcers, fatigue, confusion
hypoparathyroidisim
LOW CALCIUM
HIGH PHOSPHATE
convulsions, cardiac arrhythmias, muscle twithcing, tetany, muscle cramps/spasms, paresthesias
fasting BG for DM diagnosis
> 126
random BG for DM diagnosis
> 200
hypoglycemia
<70
excessvie hunger
sweating/pallor, shakiness
hyperglycemia
> 300
excessive thirst
weakness/dry mouth
safe BG to exercise
101-250
stress incontinence
involuntary leakage during exertion
urge incontinence
involuntary contraction with urgency
overflow incontinecne
acontractile or underactive detrusor muscle, leakage
functional incontinence
can’t make it to the bathroom in time
stress incontinence Tx
strengthen pelvic floor muscles
urge incontinence Tx
treat infections, voiding schedule
functional incontinence Tx
clear clutter, improve accessibility, prompted voiding
overflow incontience Tx
behavioral modifications; double voiding, medication, catheterization
pregnancy BP
low in first and second tri
increases in third tri
pregnancy position
left-sidelying preferred
no supine after 1st tri
pregnancy HR
increases by 10-20 bpm
preeclampsia
increase in protein in urine, hyperreflexia, edema, HA, sudden weight gain, BP > 140/90
mid-back/scapula
esophagus, gallbladder, stomach, pancreas
left shoulder
heart, diaphragm, spleen, tail of pancreas
right shoulder
gallbladder, liver, head of pancreas
pelvis/LB/sacrum
colon, appendix, pelvic viscera
peptic ulcers referral
RUQ
gallbladder pathology referral
RUQ
head of pancreas referral
RUQ
appendix referral
RLQ
Crohn’s disease referral
RLQ
diverticulitis referral
LLQ
ulcerative colitis referral
LLQ
IBS referral
LLQ
tail of pancreas referral
LUQ
spleen pathology referral
LUQ
hiatal hernia referral
shoulder pain
femoral hernia referral
lateral pelvic wall and groin pain
inguinal hernia
groin pain
cholecystitis special test
Murphy’s sign
gastric ulcers
pain increases with presence of food
duodenal ulcers
caused by H. pylori infection, pain increases with absence of food
peptic ulcer disease
coffee ground emesis and melena (dark) tarry stools
chron’s disease
pain decreased by passing gas, reactive arthritis
ulcerative colitis
bloody diarrhea with mucus and pus
liver involvement
light colored stools
dark colored urine
palmar erythema
easy bruising
asterixis (hand tremor)