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Endocrine Word Assoc
Edocrine Word Association board review
Question | Answer |
---|---|
Diabetic w/ anorexia, anemia, wt loss, pallor | CRF |
Gastroparesis, impotence, recurrent infections, stocking-glove paresthesia | Diabetic neuropathy (Treat w/ TCA (amitriptyline) |
Hypoglycemia despite glucose administration. Increased C-peptide | Insulinoma |
Hypoglycemia in alcoholic | Give Thiamine before glucose to prevent Wernicke’s encephalopathy |
Decreased radioactive iodine uptake, decreased free T4, increased TSH | Hashimoto’s thyroiditis |
Female, weight loss, palpitations, atrial fibrillation | Hyperthyroid (work it up with TSH, T4) |
Exopthalmos, palpitations, wt. loss. Elevated radioactive idodine uptake | Hyperthyroid, Graves Dx – Tx w/ Radioactive iodine |
Post thyroidectomy – most likely injury | Recurrent laryngeal nerve = hoarseness |
Post thyroidectomy – electrolyte watch | Hypocalcemia |
Infant w/ round face, large protruding tongue, dry skin, umbilical hernia, constipation, enlarged abdomen, poor feeding, delayed developmental milestones | Congenital Hypothyroidism |
Recurrent HA, HTN not responding to meds, sweating | Pheochromocytoma – Tx pre-op w/ alpha blocker |
Attacks of severe HA, HTN, glucosuria | |
Urinary catecholamines, urinary metanephrines | |
HTN not responsive to meds | Renal artery stenosis (Infrarenal artery) |
HTN w/ hypernatremia, hypokalemia | Primary Aldosteronism |
Wt. gain, edema, coarse dry skin, hair, menorrhagia, cold intolerance, hx transphenoidal surgery & radiation | Hypothyroidism |
Tetany, hypocalcemia, cataracts | Hypoparathyroidism |
Exogenous corticosteroid use | Cushing syndrome |
Dexamethasone suppression test | Cushing syndrome |
Central obesity, abdominal stria, hyperglycemia, moon facies, buffalo hump, easy bruising | Cushing syndrome |
Acute steroid withdrawal | Addison’s disease, crisis |
Hyperpigmentation, hypoglycemia, orthostatic hypotension, hypotension not responsive to fluids, hypotension following an illness, trauma, or surgery | Addison’s disease, crisis (Low aldosterone; get Random or AM cortisol, ACTH stimulation test) |
Worsening fatigue, wt loss, weakness, recurrent abdominal pain, hair loss, hyperpigmentation. Hyponatremia, hyperkalemia | Addison’s disease, crisis (Low aldosterone; get Random or AM cortisol, ACTH stimulation test) |
Hyponatremia, hyperkalemia | Acute adrenal insufficiency (Addison’s crisis) |
Polyuria, polydipsia. Dilute urine, Hypernatremia | Diabetes insipidus |
Concentrated urine. Hyponatremia | SIADH |
45,X – low hairline, low set ears, webbed neck, short stature; shield chest, wide set nipples, infertility, lack of Secondary sex characteristics | Turners (gonadal dysgenesis |
XXY M - short stature, ↓ intelligence; small firm testes, gynecomastia, abn arm-body length | Klinefelters (hypogonadism) |