Pancreas
Epigastric pain radiating to the left flank and left shoulder
What is chronic pancreatitis?
Demonstrates asterixis and has elevated ammonia levels
What is hepatic encephalopathy?
Increased TSH Decreased T3, T4
What is hypothyroidism?
ADH insufficiency, polyuria, polydipsia, low urine osmolality and specific gravity
What is diabetes insipidus?
Excessive amounts of circulating cortisol
What is Cushing's Syndrome?
Inflammation of the pancreas associated with auto digestion - lipase, amylase, trypsin are activated while still in pancreas and destroy the tissue.
What is pancreatitis?
Monitor AST, ALT, PTT/INR, Albumin, and Bilirubin
What is liver cirrhosis?
Elevated T3 and T4 levels s/s = tremors, flushing, tachycardia, increased systolic BP, weight loss, muscle wasting. Tx = potassium iodide, PTU, Propranolol, surgery.
What is hyperthyroidism?
ADH excess, low urine output, increased thirst, low serum osmolality, hyponatremia, cerebral edema, mental status changes and weight gain (no edema)
What is SIADH?
Chronic deficiency of cortisol, aldosterone, and adrenal androgens
What is Addison's Disease?
Patient is to remain NPO until lipase and amylase return to normal levels and pain is controlled.
What is the treatment for acute pancreatitis?
Contaminated food, water, shellfish and feces.
What is the transmission rout of Hepatitis A?
Hyperthermia, tachycardia, agitation, restlessness, tremors, seizures, abdominal pain, nausea and vomiting
What is thyroid storm?
Gigantism, abnormally tall, acromegaly, bones of the hands and feet grow rapidly, enlarged forehead and irregular menses.
Why is hyperpituitarism?
24 hour UA - high cortisol, and androgen levels, high serum cortisol levels, increased sodium, glucose and calcium, decreased potassium.
What is Cushing's Syndrome
Sudden onset of nausea, vomiting, and left upper quadrant abdominal pain.
What is acute pancreatitis?
Splenomegaly, ascites, esophageal varices, hepatorenal syndrome, portal endcephalopathy
What are the signs and symptoms of portal hypertension?
Lethargy, muscle aches and weakness, constipation, intolerance3 to cold, facial/eyelid edema, weight gain and hair loss
What is hypothyroidism?
Following a transsphenoidal hypophysectomy the nurse notices CSF leakage from the patients nose
What is a halo sign?
IV fluids and glucocorticoids are given as treatment
What is Addisonian Crisis?
Re-current condition commonly caused by ETOH abuse, s/s = recurrent pain, nausea, constipation, steatorrhea (takes pancrelipase for), advised to avoid alcohol, caffeine, tobacco smoking, and eat small, low fat meals
What is chronic pancreatitis?
Transmitted via blood, bodily fluids, DNA virus, prevented using 3 dose vaccines, treated with limiting alcohol intake, avoiding physical activity, frequent small meals, and anti-retrovirals
What is Hepatitis B?
Hyponatremia, hypoglycemia, lactic acidosis, hypothermia, cardiovascular collapse (low BP, low pulse), impaired cognition
What is Myexedema Coma?
Synthetic vasopressin that can be given to treat DI
What is Desmopressin?
A patient has pheochromocytoma you would plan to administer this type of medication.
What is a beta blocker.