Uw0rLd 12/16/14 Flashcards Preview

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Flashcards in Uw0rLd 12/16/14 Deck (16):
1

Form of Congenital Adrenal Hyperplasia (CAH) that causes salt wasting and ambiguous genitalia in girls / precocious puberty in boys.

21-hydroxylase deficiency

2

Which type of CAH is the most common?

21-hydroxylase deficiency

3

What does "salt-wasting" mean?

low Na+, high K+, dehydration

4

Which type of CAH will cause all pts to be phenotypically female and cause fluid retention?

17α-hydroxylase deficiency

5

Which type of CAH causes salt/fluid retention and ambiguous genitalia in girls?

11β-hydroxylase deficiency

6

Old guy w/ proximal muscle weakness and high CPK

dermatomyositis or polymyositis

7

Addison's disease will cause _______-kalemia.

hyper

8

what steroid is used to tx addisonian crisis?

hydrocortisone

9

what steroid is used to tx stable addison's dz?

prednisone

10

which steroid is used to tx hypotension in addison's dz unresponsive to prednisone? why?

fludrocortisone; most mineralocorticoid activity

11

hypertension + low K+ + low renin

hyperaldosteronism

12

Tx for hyperaldosteronism caused by adrenal adenoma?

surgical resection

13

Tx for hyperaldo caused by adrenal hyperplasia?

spironolactone

14

what is the first step in mgmt of pheo?

phenoxybenzamine to control BP

15

what is the second step after adding phenoxybenzamine for Tx of pheo?

propranolol

16

pt w/ UTI has cultures (+) for proteud. she should be evaluated for _______.

kidney stones