Hypothyroidism

Same as low Thyroid stimulating hormone

Cold intolerance       ↓cardiac output            coma

cool,dry skin           bradycardia                 ↓libido/feertility

eat less-weigh more cardiomegaly                constipation

periorbital edema     pericardial/plueral effusions  

large tongue           Low sodium                    ED

deep voice             hypoTN

fatigue                  CHF

anemia                  don't care/lethargy/sad

high serum fats      ↓DTR

Women                                  Men

decreased estradiol           decreased testosterone

Menstral Disturbances       Gynecomastia

Galactorrhea                    Reduced Sperm

Dry Vagina                       ED

Infertility                         Infertility

Coarse facial features         ENLARGED: feet/hands

HA and Visual changes        tongue/salivary glands/

kyphosis                            spleen/liver/kidney

Deep voice                        heart = HTN and CHF

Carpal Tunnel

DM                                   Sleep apnea =

Hyperlipidemia                       respiratory failure

ACTH Hyper

(Symptoms of Cushings - same as hypersecretion of cortisol)

ALTERED METABOLISM: protein-muscle wasting/ osteoporosis     fat-moon face/truncal obesity/buffalo hump carbs-DM

Decreased T lymphocytes & increased neutrophils = risk of viral/fungal inf.

Na&H2O retention, edema, HTN, low Cl metabolic alkalosis, kidney stones

Bitchy to sad to crazy

Risk for thromboembolic events

ACTH ONLY - altered skin pigmentation - free tan

CHILDREN                       ADULT

stunted growth             look older

Immature Features       obesity

Slow growth hair/nail     decreased muscle mass

Late puberty                Lassitude - weary

                                  Emotional lability   

Thyroid Stimulating Hypo

(same as hypothyroidism)

Cold intolerance

eat less-weigh more

periorbital edema

fatigue

anemia

high serum lipids

everything is slow

women                                Men

amenorrhea                low sperm

    Atrophy:                libido loss

vag, uterus, breast      nut shinkage

libido loss                  ED

ACTH hypo

(same as adrenal insufficiency*)

hypoglycemia                   dysphoria

hypovolemia                    apathy

hypotension                    depression

tachycardia

*except no free tan and ACTH is low

Failure to lactate postpartum

seems to be it

ADH Hyper

SIADH

early

late

Na levels r/t symptom

don't eat                     anxiety        

nausea(Na 121-125)  lethargy (Na 115-120)        

weight gain                 HA (Na 115-120)

muscle weakness       Down DTR

irritability                     Coma  (Na 110-114)

mild disoriented          Seizures (Na 110-114)

malaise (Na 121-125)

angry

ADH Hypo

Diabetes Insipidus

Urine Spec. grav.=1.005

osmolality<200

polydipsia

sleep deprivation

dehydration=decreased tugar,hypoTN,tachycardia

High Na=Irritability/seizures/coma/decreased DTR

Heat intolerance      tachycardia/palpitation/HTN

High temp               A-Fib/angina/dysnea/CHF

warm, moist skin        

increased appetite   anxiety/symptoms of ADD

weight loss             tremor-hands/eyelid/tongue

muscle fatigue            

drop in serum lipids      ↑libido/↓fertility    Bowel freq/diarrhea

Hyperparathyroidism

bones=bone loss/pain, psuedogout     early ↓calciuria

stones=renal calculi, polyuria             late ↑calciuria

groans=anorexia, nausea, constipation,pancreatitis,PUD

moans=sad,forgetfulness,weak,fatigue,irritability

Dysrhythmias-porlonged Q-T 

CARDIAC ARREST/COMA (Ca>12)

Diagnostic=intact PTH / Ca >10 & PO4<3

↓nerve/muscle activity, DTR

HTN

Pheochromocytoma

Adrenal medulla hypersecretion

excessive catecholamines

namely norepinephrine on this card

5 p's -

Pressure (paroxysmal ↑ BP)              orthostatic hypoTN

Palpitations                                   weight loss

Pallor                                           tremors

Perspiration                                   HTN retinopathy

Pain (paroxysmal HA, chest, abd.)     ↑ Ca & glucose

Pheochromocytoma

Hypersecretion-epinephrine

Paroxysmal HypoTN           Labile HTN

shock                              orthostatic hypoTN

tremors                           weight loss

anxiety                           constipation

epigastric pain                  pallor

diaphoresis                      HTN retinopathy

chest pain                       ↑ Serum Ca, glucose

High aldosterone         Paralysis (↓ K)

suppressed renin         Visual Changes

hypertension              Thirsty

hypokalemia               Urinary frequency

headache

weakness

numbness

Loss of Water and Na      Fatigue

High K                           Postural HypoTN

Dehydration

↓weight, turgor, bicarb (w/acidosis)

↑BUN, HCT

muscle weakness

hypovolemic shock

Arrhythmias

Shock

Hyperthermia

Seizures

Systolic HTN