Treatment in Endocrine Flashcards Preview

Endocrinology > Treatment in Endocrine > Flashcards

Flashcards in Treatment in Endocrine Deck (21):
1

Addison's treatment?

hydrocortisone as cortisol replacement, trying to mimic diurnal rhythm
Fludrocortisone as aldosterone replacement

2

What should you check in Addisons disease?

TB status

3

Secondary adrenal insufficiency?

Hydrocortisone as cortisol replacement

4

Treatment of primary aldosteronism?

If adrenal adenoma, surgery (adrenalectomy)
If bilateral adrenal hyperplasia, use MR antagonists - spironolactone or eplerenon

5

Phaechromocytoma?

Phenoxybenxbenxamine and atenolol/metoprolol
Surgery (tumour de-bulking)
Chemo

6

Hypothyroidism?

Give thyroxine (t4)

7

Hyperthyroidism?

Carbimazole (Propythiouracil in pregnancy)
Beta blockers for symptoms

8

Thyroid storm?

ABCDE
Iodine, glucocorticoids, PTU, B blockers, fluids, monitoring

9

Papillary thyroid cancer?

Thyroid lobectomy with isthmusectoctomy, sub total thyroidectomy
Iodine Ablation

10

Hypercalcaemia

fluids - 0.9% saline
loop diuretics (NOT thiazides)
Bisphosphonates
Steroids if sarcoidosis is cause

11

Hyperparathyroidism

Only treatment option is surgery, but not always needed

12

Hypocalcaemia

IV calcium gluconate

13

Paget's?

bisphosphonate high dose
Calcitonin

14

Thyroglossal cysts

surgical removal

15

Syndrome of inappropriate ADH secretion?

fluid restriction

16

Premature ovarian failure?

homrone replacement therapy, oocyte/embryo donation
Prevent osteoporosis

17

POS?

Clomifene citrate tablet
Gonadotrophin therapy injections
Laproscopic ovarian diathermy

18

DKA?

fluids
Insulin
Potassium
Acid base balance correction

19

Acromegaly?

surgery
screening for colorectal adenoma
Somatostatin analogues or dopamine agonists to reduce GH levels after surgery

20

Imperforate hymen?

surgery

21

Asherman syndrome?

surgery