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Flashcards in Review Part 2 Deck (181)
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1

What are the clinical presentations of hyperthyroidism?

- Weight Loss
- Palpitations
- Diarrhea
- Tachycardia
- A. Fib
- Bounding Pulse
- Polyuria
- Heat Intolerance

2

What are the labs/lab results used to dx hyperthyroidism?

- TSH: ↓
- TH (T4): ↑

3

What are the clinical presentations of hypothyroidism?

- Dryness
- Constipation
- Bradycardia
- Dyspnea
- Peripheral Edema
- Delayed DTR’s

4

What are the labs/lab results used to dx primary and secondary/tertiary hypothyroidism?

Primary:
- TSH: ↑
- TH (T4): ↓
Secondary or tertiary: will decrease together
- TSH: Normal to ↓
- TH (T4): ↓

5

What are the clinical presentations of Myxedema coma crisis?

- Hypotension
- Reduces LOC
- Seizures
- Hypothermia
- Macroglossia
- Ptosis

6

What are the labs/lab results used to dx Myxedema coma crisis?

- TSH:↑
- TH (T4): ↓

7

What are the clinical presentations of Graves disease?

- Hyperthyroid symptoms
- Exophthalmos
- Dermatopathy
- Onycholysis

8

What are the labs/lab results used to dx Graves disease?

- TSH: ↓
- TH (T4): ↑

9

What are the clinical presentations of Subacute thyroiditis?

- Onset acute & severe
- Sore Throat
- Exquisitely tender, Enlarged gland (sm goiter)
- Febrile
- Signs of: hyper then hypo

10

What are the labs/lab results used to dx Subacute thyroiditis?

- Thyroid function x 6 mo.
- WBC: ↑ (left shift)
- ESR: ↑
- FNA Bx: if in doubt
- TPO Ab: Negative

11

What are the clinical presentations of Thyrotoxicosis/ Thyroid storm?

- Fever
- Vomiting
- Delirium
- Diarrhea
- Seizures/Coma
- Jaundice

12

What are the labs/lab results used to dx Thyrotoxicosis/ Thyroid storm?

- TSH: ↓
- TH (T4): ↑

13

What is adrenarche?

Onset of androgen-dependent body changes such as growth of axillary and pubic hair, body odor, and acne

14

What is acral?

Pertaining to peripheral body parts, such as toes and fingers

15

What is acanthosis nigricans?

-Common skin pigmentation disorder
- Dark patches of skin with a thick, velvety texture

16

What is amenorrhea?

Absence of menstruation

17

What is exopthalmosis?

- Prominence of eyes
- "bulging eyes"

18

What is proptosis?

Abnormal protrusion or displacement of an eye or other body due to all other causes

19

What is hirsutism?

Condition of male-pattern hair growth in women

20

What is menarche?

Onset of menstruation

21

What is precocious puberty?

Onset of puberty at an abnormally early age

22

What is puberty?

Appearance of sexual hair

23

What is striae?

Irregular areas of skin that look like bands, stripes or lines

24

What is thelarche?

Onset of female breast development

25

What is virilization?

Biological development of sex differences

26

What is acromegaly?

- Abnormal growth of hands, feet, jaw and face.
- D/t overproduction of GH in adulthood
- Does not grow linear

27

What is dwarfism?

- GH deficiency
- Etiology: genetics
- Common complications: Bowing of legs, hunching of the back, and crowded teeth

28

What is disproportionate and proportionate dwarfism?

Disproportionate:
- Average size torso w/ shorter extremities or vice versa
Proportionate:
- Body parts are proportion but shortened

29

What is Galactorrhea?

- Discharge of milk-like substance from the breast
- Caused by Hyperprolactinemia

30

What is an acrochordon and what diseases are these seen in?

- Skin tags
- Common in DM pts
- If in younger pts think Cushing's disease