Posterior pituitary -Table 1 Flashcards Preview

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Flashcards in Posterior pituitary -Table 1 Deck (24):
1

what is desmopressin?

analogue of ADH (PO and nasal spray)- used to tx central DI- dosing is very individualized

2

Hypernatremia is a complication of what?

Untreated DI, not enough ADH

3

DI is what?

inability to concentrate urine- central and nephregenic

4

What are the causes of nephrogenic DI?

idiopathic, familial, chronic renal dz, Acute renal failure,

5

DI diagnosis

Urine osmolality

6

what is the water deprivation test?

no fluids for 12-18hrs, give 5units vasopressin subQ and measure urine osmo after 1 hr.- central(urine concentrats)

7

what is the treatment for central DI?

DDAVP, Chlorpropamide, Carvemazepine

8

How do you treat nephrogenic DI?

low NA diet, thiazide, indomethocin

9

SiADH characteristics?

too much ADH, hyponatremia, edema

10

what are the ddx for SiADH?

CHF(cannot walk and talk), liver cirrhosis

11

endocrine without edema

Adrenal insufficiency (low aldosterone), hyponatremia

12

acute siadh presentation?

water intoxicaiton, ha, confusion, n/v, anorexia, coma,

13

What is the primary SiADH treatment?

Fluid restriction

14

How do you treat ACTH deficincy?

Hydrocortisone, cortisone acetate, prednisone

15

How do you treat TSH deficiency?

Levothyroxone

16

How do you treat FSH/LH deficiency in men?

Testosteorne

17

How do you treat FSH/LH deficiency in women?

conjugated estrogen, progesterone(if they have a uterus), estradiol

18

How do you treat FSH/LH deficiency in women who are infertile??

menopausal gonadotrpins, human chorionic gonadotropins

19

GH deficincy is treated with?

somatotropin

20

ADH deficincy is treated with?

DDVAP(desmopressin)

21

what are benign tumors of the sellar?

Pituitary adenoma, craniopharyngioma, meningiomas

22

cabergaline

treatment of hyperprolactinoma

23

bromochriptine

treatment of

24

Estrodiol?

feel good hormone for women-