Endocrinology Flashcards
three main features of addisons disease
hyponatremia
hyperkalaemia
weight loss
over-replacement of thyroxine increases the risk of……..
osteoporisis
what is subclinical hypothyroidsm
high TSH
normal T3 T4
how do you treat sublicical hypothyroidism
what condition is linked with hypercalemia
primary hyperparathyroidism
in DKA patientz, once blood glucose is <14mmol what should be started next
infusion of 10% dextrose should be started at 125 mls/hr in addition to the saline regime
what deficiency occurs in addison’s and why
hyponatremia and hyperkalemia, because it is a aldosterone deficiency and aldosterone increases Na+ retention and increases K+ excretion
asymptomatic patient with high levels of glucose on fasting test, what should be doen next
a 2nd blood test as he is asymptomatic
hypokalaemia treatment
<2.5 : replace K+ with 0.9% Nacl
>2.5: oral potassium supplements
thyroid cancer features
nodule within thyroid gland
diffuse thyroid swelling
enlarging painless mass
normal thyroid function tests
unexplained hoareness oe voice change
toxic multinodular goitre
diffuse swelling of thyroid gland
functioning nodules
TSH low, and T3.T4 high
graves’s disease features
symptoms of hyperthroidism
goitre
graves eyes
TSH low, T3.T4 high
thyroid antibodies may be seen
radioactive iodine uptake test increased
hashimoto’s thyroiditis
features of hypothyroidsm
middle ages women
thyroid gland may enlarge rapidly
TSH high T3.T4 low
thyroid antibodies may be seen
De Quervain’s thyroiditis features
neck pain
fever
lethargy soon after viral illness
TSH low, T3.T4 high
radioactive iodine decreased
