Show:
Pituitary
Parathyroid
Thyroid
Cushing & Addison
Misc.
100

What is the treatment for hypopituitarism?

Lifelong hormone replacement therapy
100

What electrolyte imbalances occur from hyperparathyroidism?

Hypercalcemia & hypophosphatemia

100

Explain the patho of hyperthyroidism

The body develops antibodies that mimic TSH due to infection/stress, causing an increase in the release of thyroid hormones (T3 & T4) resulting in low TSH levels and increased metabolism & tissue sensitivity.

100

What are the potential causes of Cushing Syndrome?

Excess administration, ACTH tumor on pituitary, adrenal tumor, ectopic ACTH. 

100

What do you not do if a patient has a suspected phenochromocytoma?

Do not palpate the abdomen

200

What is the overproduction of GH from a tumor on the pituitary causing overgrowth of bones & soft tissues?

Acromegaly

200

What electrolyte imbalances occur from hypoparathyroidism?

Hypocalcemia, hypomagnesemia, hyperphosphatemia

200

What are the signs of Grave's?

Exophthalmos, irritability, hyperreflexia, tremors, weight loss, intolerance to heat, fine & straight hair, finger clubbing, neck swelling. 
200

How do you diagnose Cushing Syndrome?

24 hour urine collection for free cortisol, saliva test, CT, MRI, increased plasma ACTH, dexamethasone suppression test.

200

What is the risk of a thyroidectomy?

Hypocalcemia

300

What are the signs & symptoms of SIADH?

Excessive ADH release, low serum osmolality, increased urine osmolality, low urine output, hyponatremia, muscle cramps, pain, weakness, thirst, dyspnea on exertion, fatigue, weight gain

300

What are the manifestations of hypoparathyroidism?

Tetany, lethargy, anxiety, positive Chvostek's & Trousseau signs
300

What happens when someone is experiencing myxedema coma and how do you treat it?

They will have a subnormal temperature (low), hypotension & bradycardia, and hypoventilation. 

Support vital signs and give IV thyroid hormone replacement. 

300

What are the manifestations of an addisonian crisis?

Hypotension, tachycardia, dehydration, hyponatremia, hyperkalemia, hypoglycemia, fever, weakness, confusion, vomiting, diarrhea, abdominal pain.
300

What do you watch for when giving IV calcium for a patient with hypoparathyroidism?

Watch the heart & watch for extravasation
400

How do you treat SIADH within the sodium level parameters?

If Na >125: restrict fluids to 800-1000mL/day & give furosemide

If Na <120: IV 3% NaCl & fluid restriction of 500mL/day

400

What are the manifestations of hyperparathyroidism?

Decreased bone density, weakness, loss of appetite, constipation, fractures, kidney stones

400

Name the 3 medications for hyperthyroidism

Propylthiouracil

Methimazole

Lugol's Solution

400

What is the medication for Cushing Syndrome and what is the medication for Addison Disease?

Cushing: mitotane

Addison: hydrocortisone

400

What are the signs of thyrotoxicosis?

Severe tachycardia, heart failure, shock, hyperthermia, delirium, coma, seizure.
500

How do you diagnose DI?

Specific gravity <1.005

Urine osmolality <100

Serum osmolality >295

Water deprivation test

500

How do you treat high calcium levels in hyperparathyroidism?

IV 0.9% NaCl & furosemide

500

What do you need to watch for when giving Levothyroxine for hypothyroidism?

Watch for angina & cardiac dysrhythmias. 

Dose too low: bradycardia, lethargy, constipation, fatigue

Dose too high: irritable, hyperthermia, tachycardia, diarrhea, tremors, insomnia

500

What are the manifestations of Cushing Syndrome?

Weight gain, moon face, buffalo hump, hyperglycemia, protein wasting, weakness, osteoporosis, bone & back pain, delayed wound healing, purple striae, insomnia, psychosis, hormonal changes
500

What is the medication used to treat acromegaly and what is the risk with giving it?

Octreotide

Risk of gallstones