psych manifestions of endocrine disease

Question 1

cold intolerance
fatigue
depression
difficulty concentrating
memory impairment
weakness
weight gain

Answer 1

hypothyroidism

Question 2

depression with cold intolerence, constipation, weight gain, large tounge, dry hair

Answer 2

hypothyroidism

Question 3

test for hypothyrodism

Answer 3

TSH

Question 4

tachycardia, goiter, tremer, skin changes and anxiety

Answer 4

hyperthyroidism

Question 5

fatigue depression weight loss and Afib in elderly

Answer 5

hyperthyroidism

Question 6

labs for hyperthyroidism

Answer 6

TSH then free T4/FTI

Question 7

weakness, anorexia, GI sx possible hyperpigmentation

Answer 7

addison’s

Question 8

hyponatremia/hypokalemia

Answer 8

addison’s

Question 9

most common psych sx in addison’s

Answer 9

delusions, hallucinations, depressions

Question 10

truncal obesity, moon facies/ round face, hypertension, depression sx

Answer 10

cushing’s

Question 11

sx of exogenous steroid sx

Answer 11

manic/hypomanic

Question 12

evaluation of cushing’s

Answer 12

24hour urinary cortisol

dex suppression test

Question 13

evaluation of addison’s

Answer 13

basal plasma cortisol and ACTH

low dose ACTH test

Question 14

stones, bones, abdominal groans and psych moans

Answer 14

hyperPTHism

Question 15

hypercalciemia, think

Answer 15

hyperPTHism

Question 16

kidney stones, neuro muscular sx, anorexia, thirst, urinary frequency, constipation headache

Answer 16

hyperPTHism

Question 17

hyperPTH sx

Answer 17

depression, anxiety, lethargy, decreased cognitive

Question 18

advanced hyperPTH sx

Answer 18

psychosis, delerium, coma

Question 19

test for PTH issue

Answer 19

calcium, PTH level