Endocrine Flashcards
(47 cards)
Sulfonylureals (glyburide)
hypoglycemia
Amylin analogues (pramlintide)
hypoglycemia
Insulin
hypoglycemia
Metformin
lactic acidosis
don’t use in renal failure
diarrhea
Thiazolidinediones (pioglitazone)
CHF/fluid retention
GLP-1 analogues (exenatide)
pancreatitis
Grave’s disease
exophthalmos
thyroid bruit
diffuse uptake on thyroid scan
Thyroiditis
tender thyroid, post URI
Pituitary tumor
hyperthyroid
high TSH, T4, T3
surreptitious levothyroxine use
hyperthyroid
low uptake on scan
no URI
Placental abruption
vaginal bleeding
abdominal pain
Placenta previa
painless vaginal bleeding, often 30 weeks
placenta overlies internal cervical os
Placenta accreta
severe painless postpartum hemorrhage
previous C-section or previa
placenta villi on myometrium
defect in decidua basalis layer
Uterine Rupture
painful massive postpartum hemorrhage
Uterine atony
long labor, soft uterus
Sheehan syndrome
no lactation
DI after delivery
sometimes shock
per-partum pituitary hemorrhage
post menopausal vaginal bleeding
endometrial cancer until proven otherwise
need biopsy
Ectopic pregnancy
abdominal pain
LMP 6-8 weeks ago
UPT positive
adnexal mass
preeclampsia
severe HTN after 20 weeks gestation
proteinuira, end organ injury
w/ seizures = ecclampsia
HELLP Syndrome
preeclampsia
low platelets
elevated LFTs
hemolysis
post partum complications
depression
PE, cardiomyopathy
amniotic fluid embolism
Group B strep
cloudy amniotic fluid
septic newborn
Diabetic Ketoacidosis
low glucose
high potassium
pseudohyponatremia/low sodium
surreptitious insulin use labs
low glucose
low C-peptide
high insulin
