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Vish Gossain
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Decks in this class (35)
DM - Background
T1 clinical presentation presents...,
T2 this insulin resistance is ass...,
T2 clinical presentation 3
7
cards
DM - Diagnosis
T2dm diabetes is usually diagnose...,
T2dm use of hbalc is inappropriat...,
T2dm in an asymptomatic person th...
7
cards
T2DM - Initial Managment
Care plan for each patient 1,
At and then repeat per year 2,
Monitor cardiovascular risk 3
7
cards
T2DM - Drug treatment
If hbalc levels are not controlle...,
Offer a such as standard release ...,
If is not tolerated or contraindi...
6
cards
T2DM - Drugs
Biguanides eg decrease production...,
Met ci s 0 egfr for standard rele...,
Met side effects o gi effects pai...
9
cards
T1DM - Mx principles
Insulin therapy is indicated in a...,
Tldm management is similar in pri...,
Lifestyle advice o diet counting ...
7
cards
Insulin regimens
Short acting insulins aim to mimi...,
Short acting soluble insulin o eg...,
Intermediate acting insulins mimi...
6
cards
Insulin - Considerations
Considerations if there is poor c...,
Complications of insulin therapy 2,
At the injection site 3
8
cards
Annual Diabetic Review
Assess cardiovascular risk macrov...,
Assess for microvascular complica...,
Assess diabetic control 3
5
cards
DKA 1
Diabetic ketoacidosis metabolic i...,
Accumulation of bodies causes a m...,
Perfusion falls leading to impair...
9
cards
DKA 2 - Mx
Immediate treatment l over hour i...,
Immediate start o units human sol...,
Get urgent review if severe dka d...
8
cards
Hyperosmolar Hyperglycaemic State
Characteristic of a severe hyperg...,
Precipitating factors 2,
These patients may be more severe...
9
cards
Hypose
Hypoglycaemia is defined as plasm...,
Autonomic o o anxiety o o tremor o 2,
Neuroglycopenic o o drowsiness o 3
10
cards
Diabetic Eye Disease
Diabetic retinopathy dr 1,
Npdr usually and always occurs at...,
Pdr characterised by the developm...
8
cards
Diabetic Neuropathy
Symmetrical polyneuropathy 1,
Symmetrical polyneuropathy 2,
Acute painful neuropathy 3
6
cards
Diabetic Nephropathy + Macrovascular Complx
Nephropathy it usually manifests ...,
Nephropathy test every patient mo...,
Macrovascular diabetes is a risk ...
4
cards
Goitre
Goitre enlargement of the thyroid...,
Diffuse goitre ddx physiological ...,
Nodular goitre ddx multinodular m...
7
cards
Thyrotoxicosis
Thyrotoxicosis clinical disorder ...,
Causes common o disease lgg stimu...,
Causes less common o toxic aka s ...
7
cards
Hyperthyroid Workup
Investigations tsh fully o unless...,
Ix scan if not present o can dist...,
Primary care non selective eg o m...
9
cards
Hypothyroidism
Prevalence of in the general popu...,
Common causes o autoimmune thyroi...,
Less common causes o drugs excess...
9
cards
Thyroid Cancer
Papillary carcinoma most common m...,
Papillary carcinoma cured by incl...,
Follicular carcinoma 3
9
cards
Pituitary Adenoma 1
The adenohypophysis anterior pitu...,
The neurohypophysis posterior pit...,
Pituitary adenoma tumours of the ...
6
cards
Pituitary Adenoma 2 - Hyperprolactinemia + Acromegaly
Hyperprolactinaemia prolactin sti...,
Hyperprolactinaemia in the long t...,
Treatment of a prolactinoma 3
9
cards
Pituitary Adenoma 3 - Cushing's syndrome
Cushing s syndrome cushing s synd...,
Acth dependent causes 2,
Acth independent causes 3
11
cards
Other Hypothalamic-Pituitary Disturbance
Panhypopituitism defective of all...,
Panhypopituitism pituitary causes...,
Panhypopituitism hypothalamic cau...
5
cards
Pheochromocytoma
Pcc secreting tumours arising fro...,
Presentation is usually with unre...,
There are often vague symptoms 3
6
cards
Addison's Disease
Primary adrenal insufficiency 1,
Aetiology o 80 in the uk o most c...,
Symptoms are often vague and non ...
10
cards
Congenital Adrenal Hyperplasia
Congenital deficiency in 21 a hyd...,
Aldosterone and cortisol levels w...,
Clinical features virilisation of...
5
cards
Conn's
Most common in leading to primary...,
Hyper leads to and retention 2,
Presentation o mostly o resistant...
6
cards
Calcium Control
40 of plasma calcium is bound to ...,
There are parathyroid glands lyin...,
Pth works to plasma calcium level...
7
cards
Causes of Hypercalcaemia
In a patient with hypercalcaemia ...,
Excessive pth secretion 2,
Malignancy o o metastatic deposit...
7
cards
Parathyroid Disorders
Primary hyperparathyroidism 1,
1 hyperpth treatment is o indicat...,
Secondary hyperparathyroidism 3
4
cards
Primary HyperPTH
Primary hyperparathyroidism is of...,
Ecg will show interval and this c...,
Investigations pth ca2 reduced ra...
10
cards
Acute Hyperplasia
If ca mmol l and symptoms 1,
4 things to do 2,
Iv fluids o to increase calcium c...
7
cards
Hypocalcaemia
Hypocalcaemia may be an artifact ...,
With low pth hypoparathyroidism 2,
With high pth deficiency acute ac...
7
cards
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CP3 - Endocrinology
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