Endocrinology Cpc Flashcards
(20 cards)
what does opthalmoplegia mean
paralysis of one or more eye muscles
what will a TFT show for most people with a goitre
normal function
what is carbimazole
antithyroid medication
what is Propylthiouracil
antithyroid medication
why might a patient with hyperthyroidism be prescribed beta blockers
to attenuate the adrenergic symptoms such as tachycardia (if the pt has adrenergic symptoms)
what is the treatment for hyperthyroidism
initially medication only, if unsuccessful then thyroidectomy or radioactive iodine
why should you test for TSH receptor antibodies in a pt with hyperthyroidism
useful for prognostic purposes
what is a major risk factor for grave’s eye disease
smoking
what is the prognosis for a well defined follicular carcinoma
very good, even if metastases
how is hyperprolactinaemia treated
dopamine agonist
how will secondary amenorrhea affect the bones
will decrease bone mineral density and predispose to osteoporosis
why might PCOS cause obesity
insulin resistance
what is an insulinoma
a pancreatic tumour that secretes excessive insulin
what is whipple’s triad
used to identify a hypoglycaemic disorder
symptoms of hypoglycaemia
biochemical evidence of hypoglycaemia
symptoms resolve when hypoglycaemia is corrected
what should you measure in a pt with hypoglycaemia
measure serum insulin and C peptide conc
what is C peptin
by product of insulin production
in what disease might you see hyperpigmentation on pressure areas and sun exposed areas
addisons
list some symptoms of addisons
fatigue, anorexia, hyperpigmentation, amenorrhea, orthostatic dizziness
how do you treat Addison’s
hydrocortisone
fludrocortisone
what should you tell a patient with Addison’s
increase salt intake in hot dry summers
double hydrocortisone during periods of emotional or physical stress
administer hydrocortisone and saline in periods of vomiting
monitor for other autoimmune endocrinopathies
