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Flashcards in Endocrine Lecture Deck (26)
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1

MC pituitary adenoma?

Prolactin or GH secreting (60%)

2

Female manifestations of prolactin secreting adenoma?

-Amenorrhea
-Galactorrhea

3

Male manifestations of prolactin secreting adenoma?

-Decreased libido
-Impotence
-High prolactin levels (breast development and lactation)

4

Main presentation of GH hypersecretory tumors?

Acromegaly

5

Adrenal cortex disorders:

Cushing's and Addison's

6

Adrenal medullary disorders:

Pheochromocytoma

7

S/S Cushing's syndrome

-Buffalo hump, moon facies
-Truncal obesity
-Purple striae on trunk
-Facial hirsutism

8

S/S Addison's disease

-Weakness/fatigue
-Hyperpigmentation
-Wt loss
-Dehydration
-Cold intolerance

9

S/S of pheochromocytoma

-Tachycardia
-Palpitations
-HA
-N/V
-Clammy skin

10

S/S hypoparathyroidism

-Tingling face, hands, feet
-Muscle cramps
-Abdominal pain
-Seizures

11

S/S hyperparathyroidism

-Muscle aches/pains
-N/V
-Constipation
-Excessive urination/thirst
-Thinning bone

12

Osteoporosis/osteomalacia is MC in what populations?

Post menopausal white and Chinese women

13

S/S Paget's disease

-If skull affected: increased head size, decreased hearing
-Bending of bones

14

S/S Osteogenesis imperfecta

-Fragile bone structure
-Triangular shaped face
-Blue sclera
-Scoliosis
-Fractured teeth

15

What is diabetic ketoacidosis?

Hyperglycemic state resulting from severe insulin deficiency

16

Which condition is too much cortisol?

Cushing's Syndrome

17

Which condition is not enough cortisol?

Addison's Disease

18

How does acromegaly present when growth plates have already fused?

Increased hand and foot size

19

How does acromegaly present when growth plates have not fused yet?

Pituitary gigantism (8 feet or more)

20

How does a pituitary growth cause neural compression and what does it present as?

-Pituitary is located inferior to optic chiasm and can compress the fibers
-A growth causing neural compression will result in bitemporal hemianopsia (tunnel vision)

21

If rhinorrhea is watery and clear, what do you test for to confirm CSF?

Glucose

22

CSF rhinorrhea can occur with what condition?

Pituitary growth causing neural compression

23

What is prognathism and what is it a/w?

Prominent jaw
A/w acromegaly (GH secreting pituitary tumor)

24

How does thyroiditis present? Phases?

-Neck pain and fever
-Acute phase: s/s of HYPERthyroid with a tender thyroid
-Recovery phase: s/s of HYPOthyroid

25

What is a cold thyroid nodule?

-Nonfunctional
-Asymptomatic

26

What is a hot thyroid nodule?

-Functional
-Pt may show s/s