Clinical Presentations in Endocrine Flashcards Preview

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Flashcards in Clinical Presentations in Endocrine Deck (35):
1

anorexia, weight loss, fatigue/lethargy/dizziness/low BP, abdo pain, womiting, diarrhoea and skin pigmentation

Addison's Disease

2

What causes the skin pigmentation in Addison's?

high ACTH levels

3

Clinical features similar to Addisons except skin is pale due to no rise in ACTH and aldoesterone production is intact

secondary adrenal insufficiency

4

Central obesity, moon fact, buffalo hump, acne, thinning of skin, telangiectasia, stretch marks, proximal muscle weakness, osteoporosis, hisutism, amenorrhea, insomnia, euphoria, easy bruising

Cushings

5

significant hypertension, hypokalaemia and alkalosis

primary aldosteronism

6

Adrenal insuffiency poor weight gain in males
Genital ambiguity in females

Congenital adrenal hyperplasia

7

Labile hypertension, postural hypotension, paroxysmal swearing, headache, pallor, tachycardia

Phaeochromocytoma

8

coarse sparsa hair, expressionless face, periorbital puffiness, doughy skin, vitiligo

Hypothyroidism

9

reduced heart rate, cardiac dilatation, worsening of heart failure, hyperlipidaemia, decreased appetite, weight gain

hypothyroidism

10

AF, anxiety, loose bowel movements, lighter bleeding, weight loss

hyperthyroidism

11

palpable nodules on thyroid

papillary thyroid cancer

12

thirst, dehydration, confusion, polyuria

acute hypercalcaemia

13

myopathy, osteopaenia, fractures, depression, hypertension, abdominal pain

chronic hypercalcaemia

14

paraesthesia, muscle cramps and weakness, fatigue, bronchospasm/laryngospasm, fits, Chovstek's sign (tapping over facial nerve) and Trousseau sign (carpopedal spasm)

hypocalcaemia

15

QT prolongation on ECG

hypocalcaemia

16

bone abnormalities, obesity, subcutaenous calcification, mental retardation, brachdactylyl of 4th metacarpal

pseudohypoparathyroidism

17

bone pain, fractures, nerve compression

Paget's

18

Midline swelling, moves with tongue

thyroglossal cyst

19

soft, non flucuant midline swelling

demoid cyst

20

Lymphatic lesion arising in posterior triangle of neck

cystic hygroma

21

Pain and swelling around mealtimes

salivary gland stones

22

Absent/incomplete puberty

idiopathic hypogonadotrophic hypogonadism

23

galactorrhoea common, also amenorrhoea

hyperprolactinemia

24

short stature, webbed neck, shield chest with wide nipples, underdeveloped breasts, no menstruation,

Turner's syndrome

25

Amenorrhea, raised FSH, low oestriodiol levels

Premature ovarian failure

26

Oligo/amenorrhoea
Clinical or biochemical signgs of ahyperandrogenism (acne, hirsutism)

POS

27

abdo/pelvic pain, febrile, infertility, ectopic pregnancy, vaginal discharge, dysmenorrhoea

Hydrosalpinx due to PID

28

dysmenorrhoea, dyspareunia, menorrhagia, painful defecation, chronic pelvic pain, infertility

Endometriosis

29

Insidious onset of increased thirst, worsening polyuria, weight loss, nausea and vomiting, abdo pain, Kussmaul breathing

DKA

30

Extreme thirst, warm dry skin that doesn't sweat, fever, sleepiness/confusion, loss of vision, hallucination, weaknesss on one side of body

hyperosmolar hyperglycaemic non-kerotic state

31

headaches, visual field defects, gradual chance of appearance (englargement of hands, feet, frontal bossing, thickened nose, big tongue, growth of jaw etc)

acromegaly

32

cyclic pelvic pain, amenorrhea, urinary retension, constipation, back pain, nausea and diarrhoea

imperforate hymen

33

female external genitalia

complete androgen insensitivity

34

Amenorrhoea, hypomenorrhoea, infertility, pain during menstruation

Asherman syndrome

35

abdo pain, palpable abdo mass, abdnormal vaginal bleeding, ascited, pseudo-Meigs syndrome

Stuma Ovarii