Term
|
Definition
↑GH
diagnosised via IGF-1 |
|
|
Term
|
Definition
chronic adrenal insufficeny
it is a prmiary issue caused by the adrenal glands themselves
there is a ↓ in cortisol <3 @8am and ↑acth >200 |
|
|
Term
| relationship between PTH and Calcuim |
|
Definition
| when the body senses a decrease in calcuim the pararthyroid releases PTH. PTH stimulates osteoclasts to degrate bone, kidneys to increase resabsorption of Ca and the gut to activate vit D to absorb more Ca there. |
|
|
Term
| anterior pituitary hormones |
|
Definition
FSH
ACTH
prolactin
TSH
GH |
|
|
Term
|
Definition
|
|
Term
| what is the most common cause of central adrenal insufficency |
|
Definition
| supraphysiological GC therapy |
|
|
Term
|
Definition
primary hyperthyroidsim
sx: hot sweaty, weght loss goiter
trxt
methimazole- tetrogenic and jaundice
PTU- thyroid storm- renal issues
|
|
|
Term
| insulin therapy is used when |
|
Definition
type 1
type 2 badness
DKA |
|
|
Term
|
Definition
chovstek sign, trouseau
tetany, muscle cramps. twitching, layrngospasm |
|
|
Term
| treatment for hpothyroidism |
|
Definition
levothyroxine
dx test of choice- TSH levels |
|
|
Term
|
Definition
| round facies, perauricular fat, hyperpigmented, purple stria, hirtuism |
|
|
Term
| what is the most common sx of prolactoremia |
|
Definition
|
|
Term
| what is the primary disease of the adrenal medulla |
|
Definition
pheochromocytomas clinical manefestations is HTN which is either eposidic or sustained
prior to surgery you need a complete α blockade using phenooyxbezamine |
|
|
Term
| how is cushings disease determined |
|
Definition
dex meth test- at midnight then take cortisol level at 8am >5 abnormal-need more testing
also 24 hr free urine and late night salivary testing |
|
|
Term
| Sx of pituitary macroadenoma |
|
Definition
↓sex characteristics
adrenal insuffinency
hypothyroidism
visual field defects |
|
|
Term
| thyroid nodules and cancer |
|
Definition
dx via FNB
follicular neoplasm- cant differentiate follicular adenoma from carcenoma bc you need to examine the capsule therefore need complete thyroidectomy |
|
|
Term
| how do we meaure gycemic control |
|
Definition
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