Endocrine Flashcards

(37 cards)

1
Q

addisons

A

low cortisol and aldosterone

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2
Q

low Na and high K

A

addisons

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3
Q

test for addisons

A

synacthin test
does not rise in addisons

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4
Q

other causes of adrenal insufficiency

A

primary addisons
secondary - pit disease, tumour, radiotherapy

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5
Q

cushings disease
syndrome
ectopic

A

pit
adrenal
SCLC

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6
Q

ix for cushings

A

dex suppression test
24 hour free cortisol
insulin stress test

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7
Q

CAH

A

21 hydroxylas lack of

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8
Q

conns is what
Na K

A

high aldosterone
high Na low K

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9
Q

treatment for conns

A

spironolactone
surgery

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10
Q

phaechromocytoma is what
ix

A

adrenal medullary tumour
24 hour urinary metanephrines

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11
Q

phaechromocytoma treatment

A

alpha blockers - phenoxybemamine
beta blocker
surgery

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12
Q

acromegaly investigation

A

IGFI
growth hormone

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13
Q

treatment for acromegaly

A

transphenoidal surgery
bromacriptine, octeotride

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14
Q

prolactinoma symptoms in M
W

A

visual field
amenorrhea, irreg periods, glactorrhoea

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15
Q

treatment of prolactinoma

A

cabergoline
brcomicriptine

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16
Q

hypopituitarism causes

A

tumours, mets, AI, infectionshy

17
Q

hypopituiritism treatment

A

replace hormones

18
Q

Type 1 DM fasting
random

A

over 7
over 11

19
Q

if over 50 and high BMI diagnosed with DM

A

c peptide, DM antibodies

20
Q

HBA1C target and check how frequently
target BMs waking
before meals

21
Q

if T1DM and BMI over 25

A

add metformin

22
Q

MODY genetics
treatment

A

ADOM
low dose SU

23
Q

latent AI of DM genetics
treatment

A

auto AB positive
oral agents

24
Q

Metformin side effects

A

gastro
lactic acidosis

25
SU side effects
hypoglycaemia increased appetite SIADH liver dysfunction
26
glitazones
increased weight fractures fluid liver
27
DPPU gliptins
pancreatitis
28
target hba1c if lifestyle and metformin on another agent
48 53
29
when to give GLP1
BMI over 35 and not for insulin
30
hypothyroid follow up
2m then annually
31
anti TPO anti thyroglobulin ABs
hashimotos
32
moves with tongue
thyroglossal cyst
33
midline soft non fluctuant
dermoid cyst
34
half filled water bottle ant triangle
branchial cyst
35
bubbles large, lymph filled, transluminates post triangle
cystic hygroma
36
normal dexa osteopenia osteoporosis
> -1.0 -1 to -2.5 <-2.5
37
if over 75 and fragility fracture
start steroids