Adrenal Flashcards
(7 cards)
1
Q
how do you manage a acute adrenal crisis?
A
5S Steroids - hydrocortisone Sugar IV Salt IV Support Search etiology
2
Q
what electrolyte abn will make you think of adrenal crisis
A
Low Na
high K
signs of dehydration
3
Q
how do you calculate BSA
A
squareroot of (height (cm)x weight (kg)/3600)
4
Q
how does CAH lytes look?
A
Low Na
High K
D5-7 but can happen earlier
5
Q
what would make you think that a baby had CAH
A
vomiting dehydration poor feeding progressing to acidosis if girl - ambiguous
6
Q
Cushing syndrome CF- CUSHINGOID
A
Cataracts, Ulcers, Skin: striae, thinning, bruising, Hypertension/ hirsutism/ hyperglycemia, Infections, Necrosis, avascular necrosis of the femoral head, Glycosuria, Osteoporosis, obesity, Immunosuppression, and Diabetes
7
Q
When do you do a ACTH stim test?
A
Assess adrenal function with suspected early primary or mild secondary adrenal insufficiency
If cortisol > 133 nmol/l
