16 - Adrenal Glands (part 2) Flashcards Preview

Med Surg P.P.'s > 16 - Adrenal Glands (part 2) > Flashcards

Flashcards in 16 - Adrenal Glands (part 2) Deck (16):
1

Clinical manifestations include: abnormal fat distribution (truncal obesity, striae, cervical fat pad, and moon face), hypokalemia, cardiac arrhythmias, muscle weakness, weight gain, edema, and increased susceptibility to infection.

Q image thumb

Cushing Syndrome

A image thumb
2

In order to diagnose, the ACTH stimulation test is used.  Primary = ↑ ACTH and ↓ Cortisol.  If it is secondary, there will be ↓ or normal ACTH and a gradual ↑ in Cortisol.

Q image thumb

Addison's Disease

A image thumb
3

Clinical manifestations are acute and unpredictable.  Can last for seconds to hours, and symptoms are abrupt and subside slowly.

Q image thumb

Paroxysmal Pheochromocytoma

A image thumb
4

Clinical manifestations include: hyponatremia, hyperkalemia, dehydration, hypotension, hypoglycemia, weakness, fatigue, dark pigmentation of oral mucosa and skin, & decreased axillary and pubic hair.

Q image thumb

Addison's Disease

A image thumb
5

Adrenal medulla hyperfunction.

Q image thumb

Pheochromocytoma

A image thumb
6

Excessive androgen secretion (adrenogenital syndrome).

Q image thumb

Congenital Adrenal Hyperplasia

A image thumb
7

Diagnostic findings for this condition include vanillymandelic acid, free catecholamines, and metanephrine.

Q image thumb

Paroxysmal Pheochromocytoma

A image thumb
8

Glucocorticoid oversecretion (hyperfunction).  

Primary is caused by Cortisol-secreting adrenal tumors (benign or malignant).  

Secondary is caused by an ACTH secreting tumor (pituitary or hypothalamus).

Q image thumb

Cushing Syndrome

iatrogenic = overdosage of glucocorticoids

A image thumb
9

Clinical manifestations include headache, diaphoresis, and palpitations (triad of symptoms).

Q image thumb

Pheochromocytoma

A image thumb
10

Chronic primary adrenocortical insufficiency.

Q image thumb

Addison's Disease

A image thumb
11

Lab values include:

  • ↑ plasma cortisol and urinary cortisol secretion
  • ↑ blood glucose
  • ↑ sodium
  • ↓ potassium
  • Plasma ACTH

Q image thumb

Cushing Syndrome

A image thumb
12

Lab values include:

  • ↑ sodium and water
  • ↓ potassium
  • Polyuria
  • Polydipsia
  • Metabolic alkalosis
  • No overt edema
  • ↑ plasma and urine aldosterone level
  • Plasma renin level

Q image thumb

Hyperaldosteronism

A image thumb
13

Clinical manifestations include:

  • Adult females
    • Hirsutism
    • Balding
    • Breast atrophy
    • Masculine body build
  • Female infants
    • Masculinization of external genitalia
  • Adult males
    • Not so dramatic
    • Boys may develop secondary sex characteristics early

Q image thumb

Congenital Adrenal Hyperplasia

A image thumb
14

In order to diagnose, the ACTH suppression test is used.  Administer dexamethasone, and check for cortisol levels.  If the cortisol levels rise, the person is positive for this condition.

Q image thumb

Cushing Syndrome

A image thumb
15

Lab values include: 

  • ↓ aldosterone level 
  • ↓ cortisol level
  • hypoglycemia
  • hyponatremia
  • hyperkalemia
  • ↑ BUN
  • ↑ hematocrit.

Q image thumb

Addison's Disease

A image thumb
16

Primary form of this condition is known as Conn's Syndrome, and is caused by an adrenal tumor (typically benign).

Secondary form of this condition is caused by alteration in RAAS, renal artery disease, and/or cardiac failure.

Q image thumb

Hyperaldosteronism

A image thumb