Endocrine Flashcards
(26 cards)
2 MCC of hypercalcemia
Hyperparathyroidism and Malignancy
Difference between primary and secondary hyperparathyroidism
Primary high calcium, low phosphate
Secondary (renal) high calcium, high phosphate
Chvostek and trousseu signs
Chvostek - Face sign
Trousseau - Hand sign
Graves Disease
Autoimmune
Thyroid bruit
AUto-antibody
Toxic nodular goiter
Elderly hyperthyroid without eye changes
MOA of methimazole and propylthiouracil
Inhibit hormone synthesis
Thyrotoxic crisis
May be post op
Tachycardia and fever
Thiourea drugs
Iodine
Propranolol
COrtisone
NO ASA
Hashimotos thyroiditis
Anti thyroid pyroxidase
Enlarged painless thyroid
Hypothyroidism
Best test for adrenal functioning
24 hour urine cortisol
Matyrapone
Blocks cortisol creation - for cushing disease
Other drug for cushings
Fluconazole
Pheochromocytoma management
Alpha blockade followed by beta blockade followed by surgery MUST be in that order
Kahn Syndrome
Primary hyperaldosteronism
Use spironolactone to manage
Dopamine aganists for acromegaly
Cabergoline and Bromocriptine
Cancer causing SIADH
SMall cell lung cancer
Medications that cause hyperprolactinemia
Metaclopramide
Methyldopa
Risperidone
Cocaine
SSRIs
Narcotics
Meds for hyperprolactinemia
Dopamine agonists - bromocriptine, cabergoline
2 long acting insulines
Detemir and Glargine
3 rapid acting insulins
Aspart
Glulsine
Lispro
Correcting sodium for glucose
For every 100mg over 100 add 1.8 to sodium level
WHen to add potassium for DKA
when it dips under 5
BP target for DM
Under 140/90
Somoyogi v Dawn effect
Dawn - BG up in the morning need nightly basal increase
Somoyogi - BG up in morning because of drop during the night - need decrease
MEN 1
Parathyroid, Pituitary and pancreatic tumors - 3 Ps
