Pedia: Endo Flashcards
In a decrease in cortisol what happens to bone age growth rate and final height of pxs?
All NORMAL. But in an increase they all go down.
In nutritional insufficiency what goes down first, weight or height?
Weight
What are the x ray findings in hypothyroidism?
Epiphyseal dygenesis, wide sutures, large sells turcica
What MEN syndromes have hyperparathyroidism? Pheochromocytoma?
MEN 1 and 2a
MEN 2a and 2b
Which drugs cause central/ Nephrogenic DI?
- Phenytoin
- Ethanol
- Lithium
- Amphotericin
- Rifampicin
1-2 central
The rest are Nephrogenic
What is the most consistent X-ray finding in hyperparathyroidism?
Resorption of subperisoteal bone along the phalanges.
What is the most common skeletal abnormality in Turner syndrome?
Shortening if the 4th metatarsal and and metacarpal bones
Treatment of Nephrogenic DI
Thiazides
Drug for precocious puberty
Leuprolide acetate
What is the MCC of thyroid dz in children and adol
Thyroiditis
What antibodies are seen in most cases of hashimoto thyroiditis?
Thyroid ANTIPEROXIDASE antibodies
Which type of MEN causes zollinger Ellison syndrome, VIPoma, glucagonoma?
Wermer
Sipple
Grolin
Wermer MEN 1
MEN with ganglioneuromatosis
Wermer
Sipple
Grolin
Grolin or MEN 3
Tx for neonatal tetany
Calcium gluconate
MEN with prolactinima
Wermer
Sipple
Grolin
Wermer MEN 1
What type of hyperparathyroidism causes renal osteodystroohy?
Primary
Secondary
Tertiary
Secondary and tertiary
What type of hyperparathyroidism causes osteitis fibrosa cystica?
Primary
Secondary
Tertiary
Primary
What type of hyperparathyroidism is due to chronic renal dz?
Primary
Secondary
Tertiary
Secondary and tertiary
What type of hyperparathyroidism is due to decreased serum calcium?
Primary
Secondary
Tertiary
Secondary
Which type of CAH will present with salt wasting will present with:
- Virilization of female gentalia
- Salt wasting
- Cortisol deficiency
21 hydroxylase deficiency
3 beta dehydrogenase
Which type of CAH will present with salt wasting will present with:
- Virilization of female gentalia
- Hypertension
- Cortisol deficiency
11 beta hydroxylase
Medication for klinefelter?
Enanthane ester, a testosterone
A previously toilet trained child starts wetting her bed and starts having a voracious appetite. What HLA type is her dz associated with?
DR 3, DR 4
DKA
Hydrate with isotonic saline Glucose 5% when glucose approaches 300 Bicarbonate if less than 7.2 pH Insulin 0.1u/kg/h LIMIT FLUID TO 4L/m2/day
