Pediatric Diabetes & Thyroid disease Flashcards
insulin dependent DM is AKA
type 1 DM
type 1 DM is most common in
whites
most common form of DM under 40 is ___, most common form >40 is ___
Type 1 ; Type 2
what is MODY?
maturity onset diabetes of youth (type 2 DM in obese kids)
tx of MODY
diet, exercise, oral hypoglycemics
diabetic ketoacidosis is assc’d with what type of diabetes?
DM type 1
role of glu tolerance test in kids
rarely need for dx
most common dosing schedule of insulin
2/3 dose before breakfast, 1/3 dose before dinner
goal of blood glu monitoring: keep blood sugar b/w____
100-200
hunger, weakness, shakiness, sweating, drowsiness, complication of DM 1
hypoglycemia
DKA when blood glu >_____, and venous blood gas under _____ and or bicarb under____
glu > 200; VBG under 7.3, bicarb under 15
tx of DAK (4)
1, restore intravascular fluids
- give insulin, add dextrose
- manage electrolytes
- correct acidosis
how is ketogenesis shut down?
by insulin admin
relationship b/w detal & maternal pituitary thyroid axes
completely independent
by week ____, thyroid gland can make hormones
14
how can hyperthryoid mothers produce thyrotoxic newbrons?
transmit human-specific thyroid stimulator Ig
if you get a serum TSH high, then what tests to add?
free T4
if you get a low serum TSH, what tests to add?
free T4 & T3
most common hypothyroidism in kids
chronic lymphocytic thyroidisits (hashimotos)
type of anemia found in hashimotos
normocytic anemia
drug of choice for hypothyroidism
levothyroxine
triiodothyroixine is used for?
TSH suppression test
tender thyroid in toxic appearing patient from bacterial infn
acute suppurative thyroiditis
idiopathic hyperthyroidism presents usu in _____ of age _____
females age 12-14
