ER EOR endocrine Flashcards

(44 cards)

1
Q

what is the name for extreme cause of hyperthyroidism

A

thyroid storm

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2
Q

how do you tx thyroid storm

A

MME, PTU

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3
Q

how do you tx myxedema crisis

A

levo

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4
Q

loss of eyebrow hair is hyper of hypo thyroid

A

hypo

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5
Q

menorrhagia is hypo or hyper thyroid

A

hypo

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6
Q

what is the name for congenital hypothyroisism

A

ctreinism

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7
Q

what is the graves disease antibidy

A

thyroid stimulating ab

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8
Q

tousseau and Chvostek’s sign are associated with what metabolic abnormality

A

hypocalcemia

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9
Q

what is the MC cause of hyperparathroidism

A

parathyroid adenoma

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10
Q

what is the metabolic dysfunction with hyperparathyroidism

A
  • hypercalcemia
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11
Q

what would you see on exam for hypercalcemia

A
stones 
bones 
abdominal groans 
psychiatic overtones 
decreased DTR
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12
Q

what is the relationship between DTR and calcium

A

inverse

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13
Q

what is the issue with renal osteodystrophy

A

the kidneys are not working right so they cannot eliminate phosephate

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14
Q

renal osteodystrophy on X ray

A

salt and pepper appearance

- cystic brown tumors

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15
Q

rickets is a decraese in what viamin

A

D

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16
Q

what is the location of addidions disease

A

at the adrenal

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17
Q

what hormones or hormone is affected in addisons

A

aldosterone and cortisol

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18
Q

what medication may cause addisons

19
Q

what are the three metabolic dysfunctions you see with primary addisons

A
  • hyponateremia
  • hyperKalemia
  • hypoglycemia
20
Q

what test to differentiate between primary and secondary adrenal insufficiency

21
Q

what test to dx adrenal insufficiency

A

ACTH stimulation

22
Q

tx for primary adrenal insufficiency (addisons)

A

hydrocortisone and fludrocortisone

23
Q

tx for secondary adrenal insufficiency

A

hydrocortisone

24
Q

what is above the pituitary in the order of metabolic operations

25
what is the difference between cushing disease and cushings syndrome
- disease is from the pituitary
26
cushing disease produces too much of what hormones
ACTH
27
what is the metabolic chnage with potassium and cushings
hypokalemia
28
what are the three tumors that will cause inc in cortisol
- pituitary (cushings disease) - ACTH (small cell lung cancer) - adrenal tumor
29
what medication will supress an adrenal tumor
ketoconazole
30
what type of increased cortisol cathology will supress during dexamethasone supression test
- cushings disease
31
what is the 4 popcorn findings or DMII
- polydipsea - polyphagia - polyuria - weight loss
32
what is the DM II a1C
> 6.5
33
what DM II medication do you need to be worried about for hypoglycemia
glipizide (sulfonurea)
34
who can you not give metformin to
if there is hepatic or renal impairment
35
what us the glucose level with HUS
> 600
36
what on PE may you see with HUS and not DKA
mental status changes
37
what do you see kussmauls respiration with
DKA
38
how do you tx hypo thyroid
Levo
39
is thyroiditis hyper or hypo thyroid
hypo
40
how do you tx neohrogenic DI
HCTZ
41
how do you tx central DI
desmopression (synthetic ADH)
42
large amount of dilute urine
DI
43
what three meds do you give for DKA, HUS
fluids insulin postassium
44
Inc Glucose > 250 AND | PH > 7.3
HHS