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Endocrinology > Treatment in Endocrine > Flashcards

Treatment in Endocrine Flashcards

1
Q

Addison’s treatment?

A

hydrocortisone as cortisol replacement, trying to mimic diurnal rhythm
Fludrocortisone as aldosterone replacement

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2
Q

What should you check in Addisons disease?

A

TB status

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3
Q

Secondary adrenal insufficiency?

A

Hydrocortisone as cortisol replacement

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4
Q

Treatment of primary aldosteronism?

A

If adrenal adenoma, surgery (adrenalectomy)

If bilateral adrenal hyperplasia, use MR antagonists - spironolactone or eplerenon

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5
Q

Phaechromocytoma?

A

Phenoxybenxbenxamine and atenolol/metoprolol
Surgery (tumour de-bulking)
Chemo

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6
Q

Hypothyroidism?

A

Give thyroxine (t4)

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7
Q

Hyperthyroidism?

A

Carbimazole (Propythiouracil in pregnancy)

Beta blockers for symptoms

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8
Q

Thyroid storm?

A

ABCDE

Iodine, glucocorticoids, PTU, B blockers, fluids, monitoring

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9
Q

Papillary thyroid cancer?

A

Thyroid lobectomy with isthmusectoctomy, sub total thyroidectomy
Iodine Ablation

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10
Q

Hypercalcaemia

A

fluids - 0.9% saline
loop diuretics (NOT thiazides)
Bisphosphonates
Steroids if sarcoidosis is cause

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11
Q

Hyperparathyroidism

A

Only treatment option is surgery, but not always needed

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12
Q

Hypocalcaemia

A

IV calcium gluconate

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13
Q

Paget’s?

A

bisphosphonate high dose

Calcitonin

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14
Q

Thyroglossal cysts

A

surgical removal

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15
Q

Syndrome of inappropriate ADH secretion?

A

fluid restriction

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16
Q

Premature ovarian failure?

A

homrone replacement therapy, oocyte/embryo donation

Prevent osteoporosis

17
Q

POS?

A

Clomifene citrate tablet
Gonadotrophin therapy injections
Laproscopic ovarian diathermy

18
Q

DKA?

A

fluids
Insulin
Potassium
Acid base balance correction

19
Q

Acromegaly?

A

surgery
screening for colorectal adenoma
Somatostatin analogues or dopamine agonists to reduce GH levels after surgery

20
Q

Imperforate hymen?

A

surgery

21
Q

Asherman syndrome?

A

surgery

Endocrinology (25 decks)

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