Diabetus
inpatient glucose goal
140-180. Nice Sugar
most appropriate test for Vit D deficiency
25-hydroxyvitamin D
After TSH, next (and only other) lab measurement required for diagnosing hypothyroidism
T4. T3/TPO antibody titers are generally unnecessary in the diagnosis of hypothyroidism
ICU admission is found to be Hypothyroid and adrenally insufficient. What therapy do they need first?
glucocorticoid replacement therapy
Patients with concomitant untreated adrenal insufficiency and hypothyroidism should always receive glucocorticoid replacement therapy first to prevent precipitation of adrenal crisis by thyroid hormone replacement.
After oral contraceptives, the next line of therapy for hirsutism related to hyperandrogenism
Spironolactone
Dx for DM (2 of 3)
Hemoglobin A1c, fasting plasma glucose >126, or oral glucose tolerance test >200
initial testing for hypercalcemia
serum calcium and PTH at the same time
What is Evan's preferred hypoglycemia food?
AirHeads
All Adrenal Incedentalomas should be evaluated for what?
First step in laboratory workup of female infertility
Midluteal phase serum progesterone
Antibodies in T1DM
glutamic acid decarboxylase and tyorsine phosphatase IA-2
2 ways to dx oseoperosis
DEXA with bone mineral less than -2.5 and clinically based on fragility fracture, hip fracture or vertebral compression fracture
2 screening labs required before initiating testosterone therapy
PSA (for men >40), HCT (baseline, 3mo, 6mo, then yearly)
Patient has a Pheochromocytoma and has surgery scheduled. What medicine needs to be started in the weeks prior?
Phenoxybenzamine is started approximately 10 to 14 days prior to surgery or another Alpha blocker
Specific laboratory workup required before prescribing testosterone replacement therapy
8am fasting total testosterone levels on TWO OCCASIONS
hyperglycemia in 2nd or 3rd trimeseter in women without prepregnancy dx of T1 or T2DM.
gestational DM
Zoledronic acid
B vitamin that can cause false alterations in lab assays for TSH/T3/T4
Biotin, B7
Antibody associated with Autoimmune Adrenalitis
21-hydroxylase antibodies- found in 90% cases
Treatment of amenorrhea secondary to prolactinoma
Cabergoline or bromocriptine
side effect of euglycemic DKA
euglycemic DKA
Typical calcium level in malignancy
>14
Patient with AFib/flutter on Amiodarone is found to be severely Hyperthyroid! What is the best management?
Moderate- to high-dose prednisone;
Type 2 amiodarone-induced thyrotoxicosis (destructive thyroiditis) can be treated with moderate- to high-dose prednisone that can be gradually tapered over 1 to 3 months.
Discontinuation of amiodarone would not yield any immediate clinical benefit due to its prolonged half-life elimination. The decision to discontinue amiodarone depends on the patient's cardiac status, availability of effective alternatives, and type of thyrotoxicosis,
What is the initial test for a person with subclinical Cushing Syndrome and an incedentaloma noted on imaging?
1-mg overnight dexamethasone suppression test
Laboratory evaluation of male gynecomastia (4 elements)
hCG, LH, estradiol, 8am fasting testosterone