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Flashcards in Data - Endocrine Deck (16):
1

What is raised/lowered in primary hyperparathyroidism?

Calcium raised
Phosphate lowered
ALP and PTH raised

2

What is raised/lowered in primary hyperthyroidism?

Free thyroxine is raised
TSH is low/undetectable

3

What is raised/lowered in primary hypothyroidism?

Free thyroxine is low
TSH is raised

4

Synacthen test?

Stimulates adrenals to produce cortisol, response is lowered in Addison's disease

5

Dexamethasone supression test?

Usually suppresses cortisol levels, via suppression of ACTH.
No suppression may indicate Cushing's disease or syndrome, or an ectopic ACTH producing tumour

6

What is raised/lowered in secondary hyperthyroidism?

Free thyroxine is raised
TSH is also raised

7

What is raised/lowered in secondary hypothyroidism?

Free thyroxine is low
TSH is low

8

What is raised/lowered in secondary hyperparathyroidism?

Calcium lowered
Phosphate raised
ALP and PTH raised

9

Nail signs of Grave's disease?

Thyroid acropachy - looks like clubbing
Periosteal hypertrophy of distal phalanges

10

Skin signs of diabetes?

Necrobiosis lipoidica - shins
Acanthosis nigricans - axillary

11

Hot, red swollen foot in diabetes?

Possibly Charcot's arthropathy:
acute inflammation; fracture; bone thinning

12

Features of hypocalcaemia?

CATs go Numb:
Convulsions
Arrhythmias
Tetany
Numbness, feet, hands, mouth

13

Features of hypercalcaemia?

Stones (kidney)
Bones (pains)
Groans (abdo pain N+V)
Thrones (polyuria--> dehydration)
Psychic overtones (depression, anxiety, cognitive dysfunction)

14

Microvascular complications of diabetes?

Nephropathy
Retinopathy
Neuropathy

15

Macrovascular complications of diabetes?

Coronary artery disease
Peripheral artery disease
Stroke

16

What is metabolic syndrome?

Features of:
Hypertension
Insulin resistance
High triglyceride levels
Low HDL