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Flashcards in Endocrine Deck (47)
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1

Symptoms of SIADH

SIADH
Spasms
Isn't any pitting oedema (key for differential )
Anorexia
Disorientation (and other psychoses)
Hyponatremia

(Urine concentrated, plasma diluted)

2

Causes of SIADH

SIADH
Surgery
Intracranial (infection , head injury, CVA)
Alveolar (ca, pus)
Drugs (opiates, anti epileptics, cytotoxics, anti-psychotics
Hormonal (hypothyroid, low corticosteroid level)

3

Test for carpal tunnel syndrome in hypo or hyperthyroidism

Hypo (as carpal tunnel thickened by myxoedema)

4

Causes of hypothyroidism with an enlarged gland

Iodine deficiency, hashimotos throiditis, or drugs eg amidarone

5

Reflexes in hypothyroidism

Normal contraction with slow relaxation

6

What is onycholysis ? Feature of what

Separation of nail from bed
Graves

7

Causes of goitre in thyrotoxic patients

Graves, toxic multinodular goitre, toxic adenoma

8

Sizing of a goitre

0 - not visible or palpable
1a- only on palpating
1b- only visible when neck extended
2 visible with neck in normal position
3 visible from a distance

9

Charcots foot?

Degeneration of joint due to neuropathy --> walking strange -> bony deformation and flattened foot

10

Symptoms of acromegaly

ABCDEF
Arthritis
Blood pressure raised
Carpal tunnel syndrome
Diabetes
Enlarged organs
Field defect

11

What is diabetic dermopathy

Brown macules over shins

12

Dry shiny hair loss skin indicates

Peripheral vascular disease

13

Eczema / haemosiderin staining indicates

Venous disease

14

Venous ulcers vs
Arterial ulcers

Moderate / no pain - larger/shallow - associated with venous insufficiency / varicose veins

Very painful - deep punched out appearance - associated with diabetes / peripheral vascular disease

15

Causes of bilateral pitting oedema

Venous insufficiency / heart failure

16

3 signs of charcots foot

High arch
Clawed toes
Prominent metatarsal heads

17

Absent peripheral pulses suggests

Peripheral vascular disease

18

Things to complete diabetic foot exam

Full neuro vascular assessment of limbs
Check capillary blood glucose
Give advice on glycemic control and foot care

19

What is thyroid acropachy ?
Seen in?

Phalangeal bone overgrowth
Graves

20

What is palmar erythema ?
Seen in ?

Reddening of palms at thenar / hyper thenar
Hyperthyroidism

21

Irregular heart rate seen in ?

AF (hyperthyroidism)

22

What causes the exophthalmos in graves

Abnormal connective tissue deposition in the orbit and extra ocular muscles

23

When might eye movements be restricted

Graves due to the abnormal connective tissue deposition in orbit and extra ocular muscles

24

What is lid lag ?
Due to ?

Upper eyelid observed laggin behind eyes in downward movement (sclera visible)
Due to anterior protrusion of eye (exophthalmos )

25

Which masses move with swallowing

Thyroid and thryroglossal

26

What would lymphadenopathy with thyroid mass suggest

Metastatic spread

27

Thyroid Bruis suggest

Suggests increased vascularity - Graves' disease

28

Hyporeflexia in which thyroid

Hypothyroid

29

What would you do to complete thyroid exam

If indicated take blood samples to assess function (TSH /T4)

30

Dry shiny hair loss skin indicates

Peripheral vascular disease