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Endocrine Emergencies > Endocrine Disorders > Flashcards

Endocrine Disorders Flashcards

1
Q

Patient assessment

Thyroid disease

A

Hyperthyroidism

Hypothyroidism

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2
Q

Hyperthyroidism

A 
Cons: nervous/insomnia/heat intol/sweating
Bugging eyes/stare/lid lag
Horse voice/goiter
ST/diff swallowing
Wgt loss
Freq BMs
Fine tremor
Warm moist palms
Infertility/menstral irregular/vomiting in pregnancy 
Osteoporosis
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3
Q

Hypothyroidism

A

Depression/forgetful/slow thinking/irritable/diff concentrate
Thinning hair

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4
Q

Thyroid crisis: thyroid storm (hyperthyroidism)

A

Thyroid storm is a life-threatening health condition that is associated with untreated or undertreated hyperthyroidism. During thyroid storm, an individual’s heart rate, blood pressure, and body temperature can soar to dangerously high levels.

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5
Q

Thyroid crisis: thyroid storm (hyperthyroidism)

Precipitating factors

A 
Infection
Trauma
Stress
Co existent medial illness
Pregnancy
Exposure to cold
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6
Q

Thyroid crisis: thyroid storm (hyperthyroidism)
Precipitating factors:
Medications

A 
Chronic steroid therapy
Beta blockers
Narcotics, anesthesia 
Etch
Tricyclics anti depres
Glucocorticoid therapy
Insulin therapy
Thiazides diuretics
Phenytoin
Chemo
Non steroidal anti I’m
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7
Q

Thyroid crisis: thyroid storm (hyperthyroidism)
Precipitating factors:
In the presence of an unknown preexisting condition

A 
Pituitary tumors
Radiation of head and neck
Auto immune diseases 
Neurosurgical procedures 
Metastatic malignancies: lung breast
Surgery
Lon-term illness
Shock postpartum status 
Trauma
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8
Q

Possible indications for thyroid emergencies

A

Thyroid storm

Myxedema coma

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9
Q

Thyroid storm

A 
Tachy
Hyperthermia
Tracy Pena
Diaphoresis
Hyper cal
Hyperglycemia
Met acid
Diarrhea
Cadovas collapse: cardio,hyp,dysrhythmias:shock
Irritability
Loc
Emotional
Psychosis
Tremors, restless
Wgt loss
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10
Q

Myxedema coma

A 
Brady
Hypothermia
Hypocenter
Hyponatremia
Hypoglycemia
Resp and met acidosis
Cardiovascular collapse 
Decreased vascular tone
Depress loc
Seizure
Coma
Hyporeflexia
Wgt gain
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11
Q

Hyperthyroidism and elderly

A 
Atypical Sox’s
Apathetic hyper: single sx (depression, a fib, chef, muscle weak)
Palpitations
Sob
Tremor
Nervous
Often Sxs  masked 
Can deterioration into storm
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12
Q

Thyroid levels

A

TSH .34-4.25
T4 5.4-11.7
T3 77-135

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13
Q

HYPERTHYROIDISM

A

TSH-T4-T3

L——H—H

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14
Q

PRIMARY HYPOTHYROID

A

TSH-T4-T3

H——L—L

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15
Q

SECONDARY HYPOTHYROID

A

TSH-T4-T3

L——L—L

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16
Q

HASHIMOTOS

A

TSH-T4-T3

H—N/L-L

17
Q

GRAVES

A

TSH-T4-T3

L—N/H—H

18
Q

SICK EUGHYROID

A

TSH-T4-T3

H—-L—L OR HrT3

19
Q

Thyrotoxicosis/storm

A

Cause

Signs and sxs

20
Q

Thyrotoxicosis/storm

Treatment

A 
Management 
Precipitating factors
Control excessive thyroid hormone release
Inhibit thyroid biosynthesis
Treat the peripheral effects
21
Q

Thyroid medications

A

PTU
Methimazole
Potassium iodide

22
Q

SIADH AND DI: diabetes Insipidus

A 
Know lab values
Causes
Medications
*other causes
Management
Signs and sxs
23
Q

Addison’s

Adrenal crisis

A 
Aldosterone deficiency
Cortisol deficiency
Know generalized signs and sxs
Crisis
Management
24
Q

Cushing syndrome

A

Sxs
Diagnosis
Treatment

Endocrine Emergencies (1 decks)

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