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SOPN endo-disorders
SOPN endo-disorders 4
Question | Answer |
---|---|
Disorder due to an increase in production of growth hormone by the anterior lobe | Hyperpituitism |
an over secretion of GH after the individual is fully grown. Occurs after the closure of the epiphysis of long ones in adults | Acromegaly |
Related to excessive stimulation of GH secretion secondary to a pituitary tumor | Acromegaly |
S & Sx: excessive growth of short bones ie; large hands and feet. Large jaw and orbital ridges that thicken and protrude. Coarse facial features. Pain in joints. Enlargement of soft tissue ie tongue, skin, and abdominal organs. Speech difficulties, belly | Acromegaly |
What mobilizes stores of fat for energy | GH |
What increases the levels of fatty acids in blood, antagonizing the action of insulin and CAN CAUSE HYPOGLYCEMIA thus predisposing the patient to atherosclerosis | GH |
What can cause a patient to see an increase in ring size, shoe size, glove size, or even HAT SIZE | GH |
What condition is the increased production of growth stimulating hormone by the anterior lobe that occurs in CHILDHOOD before the closure of the epiphysis of long bones | Gigantism |
what condition shows symmetrical growth of long bones, increasing in height of 8 or 9 feet in early adulthood. Wt of 300 - 350 lbs. Muscle weakness, cardiac hypertrophy leading to cardiac failure and premature death | GIGANTISM |
Treatment for GIGANTISM | removal of pituitary gland (hypophysectomy) and or radiation to distroy the pituitary |
What condition is caused by the underproduction of GH in the anterior lobe. Severe retardation of growth and premature aging of the body | dwarfism |
Treatment for dwarfism | If diagnosis is made early enough, injections of growth stimulating hormone . Gonadotropic Hormone |
A decrease in ADH in the posterior lobe. Condition results from a lack of sufficient ADH | Diabetes Insipidus |
Brain tumor, pituitary tumor, head trauma, encephalitis, meningitits, surgicial removal of the pituitary gland or other cranial injury | Diabetes insipidus |
Any enlargement of the thyroid gland. May be caused by a variety if disorders that prevent the synthesis of normal quantities of thyroid hormone or increased stimulation of the gland by TSH | GOITER |
Thyroid enlargement with normal thyroid hormone secretion may be caused by IODINE DEFICIENCY or long term ingestion of goitrogens | SIMPLE GOITER |
name some goitrogens | turnips, rutabagas, soybeans, skin of peanuts, milk (from kale fed cattle), or less potent seafood, green leafy veggies, peanuts, peas, strawberries, carrots, cabbages, radishes, and mustard seeds |
What OTC drug would inhibit thyroxine synthesis. Therefor before your patient has a T4 test you would need to know if they have a history of taking????? | Salicylates like ASA |
What drugs are known thyroid inhibitors? | Methimazone or Iodine in large doses, salicylates, sulfonimides, and lastly Lithium Carbonate |
In the presence of ADH the urine is concentrated, SOOO when the ADH is absent, H2o is *NOT* reabsorbed by the kidneys tubules and LARGE AMOUNTS OF DILUTE URINE IS PRODUCED | ANSWER:What is Diabetes Insipidus for the win? |
Treatment for diabetes insipidus | vasapressin hormone (an antidiuretic given IM or nasal spray. This would allow reabsorption of H2O in the collecting tubules) |
What meds would be taken for diabetes insipidus | Thiazide diuretics: diurel, esidex, hydodural*They block reabsorption of NA+ and CL in hte distal tubules of the kidney |
What is a palpable deformity of the thyroid gland. it may be benign or malignant. (malignant is rare) A scan will show whether nodules are "hot or cold" | Thyroid nodule |
The onset is insidious , I am the most common form of thyroiditis, and the condition is sometimes called autoimmune thyroiditis. WHAT AM I????? | You are Hashimoto's Thyroiditis.....................and I hate you |
A condition caused by excessive secretion of the thyroid glands which increase teh metabolic rate | Hyperthyroidism. You lucky duck. |
Symptoms are; a bruit heard over the thyroid, increased nervousness, and weightloss due to increased metabolism. What am I??? | You are Grave's Disease. Not so grave if you can eat cake with no consequences. |
Disease characterized by remissions and exacerbations with or without treatment. CAN PROGRESS to the point of thyroid tissue destruction, leading to hypothyroidism | Graves Disease |
A life threatening sudden exacerbation of hyperthyroidism. A SUDDEN INCREASE IN THYROXIN AND A MAJOR MEDICAL EMERGENCY!!! | Thyroid Storm |
What drug blocks the synthesis of T3 and T4 BUT does not destroy what is already produced | TAPAZOLE |
My symptoms are extreme hunger but lose weight, vomiting and abdominal pain, A-Fib, tachycardia, CHF, temp over 105, hyperthermia, resp distress, agitaiton, toxic psychosis, and wild delirium. INFECTION | thyroid storm |
What is the main goal in treatment of hyperthyroidism | to reduce activity of the thyroid gland |
medication for treatment of hyperthyroidism | tapazole and iodine preparation (SSKI saturated solution of potassium iodine) OR Lugol's solution given by mouth or IV for preparation of thyroid-ECTOMY |