what are the four S's? that are related to addison's
salt, sugar, steroid, search for cause
What medicine should be avoided in a person with gynecomastia?
testosterone
What do you use for prophylaxis before parathyroid surgery?
Ca
Pt education for taking levothyroxine?
avoid iron & ca, take on empty stomach
Macrovascular DM complications are?
"pathies"
*macro= CVA, PVD, CAD
What anti-diabetic agent can be used in preg women?
insulin
What is the result of an abnormal water privation test that used to dx DI?
continuous urine output when fluid deprived
Is this primary or secondary hyperaldosteronism?
Increased renin
Increased aldosteron
secondary
TSI is commonly increased/present with what thyroid disorder?
hyperthyroidism
*negative & obstructive symps= toxic adenoma
First line tx for hirsutism
OCP
What's most sensitive initial test for menopause?
FSH
*E1 estrone dominant hormone
*become resistant to FSH
A progesterone challenge test is used with condition?
secondary amenorrhea
bleeding= positive
neg= no bleeding --> r/o asherman's
What 3 lab tests are used to diagnose premature adrenarche?
17-OHP, testosterone, DHEAS
Is this person diabetic or pre-diabetic?
fasting glucose: 200
Random glucose testing: 202
OGTT: 280
HbA1C: 6.7
Diabetic
what tx for central precocious puberty increases the GnRH threshold?
leuprolide
what medication may cause hyperthyroidsm to become hypothyroid?
amiodarone
When tx'd with levothyroxine a goiter/nodule will increase if it is what?
cancer
decrease= benign
Papillary thyroid cancer is MC, what is the cause highly associated with?
radiation of head and neck especially in childhood
what is MC cause of primary adenoma (cushings)?
Iatrogenic (steroids)
Whats the most curable form of secondary HTN?
hyperaldosteronism
Klienfelter syndrome (XXY) is commonly associated w/ what:
__hyper or hypo__gonadotropic
___hyper or hypo__gonadism
*androgen insensitivity- partial resistance to testosterone
PPIs are associated with reduction of what?
*correct Mg def --> corrects PTH secretion
Primary hyperparathyroidism: "__saying/pneumonic__"
bones, groans, aches, stones
increased PTH & increased Ca
Pts w/ long term phenytoin should get what?
vit d supplement
Looser zone (pseudofractures) on xray are associated with what dx?
osteomalacia