endocrine conditions Flashcards
(19 cards)
diabetes insipidus and causes
ADH disorder
not enough adh, cant stop urine
causes: Brain tumor
Hemorrhagic stroke
Meningitis
Pyelonephritis
diabetes insipidus s/s
Polyuria (too much urine)
Polydipsia (thirst)
Clear urine
Hypernatremia
diabetes insipidus treatment
iv fluids, desmopressin - synthetic adh
SIAD and causes
adh disorder
syndrome of inappropirate ADh (too much adh relsease)
causes: lung tumor - pruduces adh, after surgery
SIAD s/s
Minimal but concentrated urine
Hyponatremia
Whole body oedema
SIAD treatment
tumor remove
fluid restriction
hashimoto thyroiditis and causes
thyriod disorder
autoimmune disease that destorys thyriod
hashimoto s/s
Fatigue
Bradycardia
Cold intolerance
Weight gain
Hair thinning
Goitre (thyroid swells)
hashimotot treatment
Levothyroxine - Synthroid (trade name)
- Synthetic T4
- Given half hour before food or 4 hours after
Blocked by antacids
graves disease casues
thryiod disorder
autoimmune stimulation of the receptor which causes excess T4 productin
graves s/s
Exophthalnos (big eyes)
Goitre
Tachycardia
Atrial fibrillation
Anorexia/weightloss
Hypertension
Mania
graves treatment
Thyroid blockers
Surgery (remove the thyroid)
Betablockers
whats cortisol do
relseased by adrenal glands at 4am
sets daily clock, causes the liver to do glycogenolysis (break apart glycogen to make glucose), causes muscles to break down and do gluconeogenesis (make glucose from the protein in our muscles)
cushings disease and causes
adrenal disorder
too much cortisol
medical treatment with steriods
cushings s/s
Break down muscle
- Muscle wasting in limbs
- Osteoporosis (break down bones)
- Khyphosis (can’t hole yourself up)
Increase fat (truncal obesity)
- Moon face
- Buffalo hump
Immune supression
- Poor wound healing
infection
cushings treatment
titrate off steriods slowly to prevent rebound
addisons disease and causes
adrenal gland disoer
decrease cortisol level
caused: autoimmune
addisions s/s
Too little
- Sugar (hypoglycemia) –> weightloss
- Salt (Hypovolemia –>hypotension)
Sex -> bronze skin
addisons treatment
steriods, salt, fluid