Quiz 4 - Endocrine I

Question 1

what are the categories of endocrine disorders, where do these present?

Answer 1

primary - originate in peripheral endocrine gland
secondary - under/over-stimulation by pituitary/HTH
tertiary - hypothalamus

Question 2

what is the difference between hyper function and hypo function

Answer 2

hyperfunction
- over stimulation by pituitary
hypofunction
- under-stimulation by pituitary

Question 3

what may present in HPI of an endocrine patient?

Answer 3

headache
hot/cold intolerance
response to exercise
menses changes
ED
skin
vision
weight

Question 4

what are important PEs to run for endocrine?

Answer 4

vitals
growth charts of kiddos
HEENT
genitalia exams
neuro/MSE

Question 5

what does a deficiency in Growth Hormone, LH/FSH, TSH or ACTH look like? These deficiencies are seen in hypo function of anterior pituitary

Answer 5

GH - kiddos, lose glucose, growth retardation
LH/FSH - Women, amenorrhea, loss of libido. Men - ED, testicular atrophy. Both - infertility
TSH - cold intolerance, bradycardia
ACTH - fatigue, hypotension, stress intolerance

Question 6

which condition of the anterior pituitary, only affects females?

Answer 6

Sheehan syndrome

- post partum hypopituitarism - low prolactin levels.

Question 7

which condition causes short stature? what measurements should be taken and what labs should be ordered? what history question is essential in assessing this condition?

Answer 7

Pituitary dwarfism

• body measurements - GROWTH CHART comparisons ** normal body proportions, but small in size, hallmark of dwarfism
• IGF-1 and GH levels will be low on labs
• ask about bowel movements - malnutrition can contribute to short stature