Osteoporosis
Cirrhosis
Thyroid
Diabetes
Endocrine of the Child
100

A-alcohol use

C-corticosteriod use

C-calcium low 

E-estrogen low

S-smoking

S-sedentary lifestyle

what are the risk factors for osteoporosis 

100

postnecrotic, laennec's/ alcoholic, billary 

what are the types of cirrhosis 

100

decrease in T3&T4 increase in TSH, bradycardia, bradypnea, cold,fatigue, constipation, hypoglycemia, weight gain, amenorrhea, expressionless, slurred speech, dry skin, coarse hair, hashimoto's disease, myxedema coma,

what is hypothyroidism

100

deficiency of insulin, seen with type 1, ketones, metabolic acidosis, kussmals respiration, 250-500 level

what is diabetic ketoacidosis

100

lifelong lactose restricted, infant may need soy based formula

what is the diet for galactosemia 

200

milk, yogurt, turnip greens, spinach, cottage cheese, ice cream, and sardines

what are good sources of calcium 

200

alcohol liver disease, viral hepatitis, autoimmune hepatitis, steatohepatitis, drugs and chemical toxins, gallbladder disease, metabolic/genetic causes, cardiovascular disease, nonalcoholic fatty liver disease

what are common causes of cirrhosis

200

increase in T3&T4 and decrease in TSH, fast metabolic rate, hot, increased appetite, tachycardia, tachypnea, diarrhea, weight and hair loss, scant or absent menses, goiter, exophthalmos, graves disease, thyroid storm

what is hyperthyroidism 

200

clinical signs of dehydration, hypotension, tachycardia, elevated BUN, altered mental status, level above 500

what is HHS

200

requires glucocorticoid replacement to survive, if sick give paranterally, stresses will require a stress dose, assess bone age annually, girls may require reconstructive surgery, assess growth and development

what is the treatment for congenital adrenal hyperplasia 

300

fatty fish, eggs, cheese, butter/margarine, ready to eat cereals, milk, orange juice

what are good sources of Vit D

300

fatigue, weight changes, anorexia, vomitting, pain, tenderness, hepatomegaly, jaundice, icterus, dry skin, pruritis, rashes, purpuric lesions, warm and bright red palms, vascular lesions, ascites, periphereal edema, Vit deficiency( especially A, D,E, and K)

what are symptoms of cirrhosis

300

dysphagia, and painless enlargement of the thyroid gland, goiter

nonsurgical management, drug therapy- ASA, NSAIDs, thyroidectomy 

what are the symptoms and treatment of thyroiditis

300

only given PO, hold for 48 hours before a procedure with dye and 48 hours after

what is Metformin

300

infants prefer water to milk, loss of weight, growth failure, dehydration, enuresis, excessive thirst and search for water overshadow everything else, perspiration deficient, skin dry 

what are the manifestations of DI

400

Alendronate(Fosamax): daily or weekly, Risedronate (Actonel):daily weekly or monthly. Ibandronate (Boniva): monthly or every 3 months. Zoledronate: IV anually, Rankl inhibitors subq twice a year. Raloxifane (Evista)

what are the bisphosphonate meds for osteoporosis 

400

X-Ray, CT, MRI, ultrasound, EGD, liver biopsy( gold standard and needs to be position on right side after)

what are the imaging diagnostics for cirrhosis

400

diuretics, fluid therapy, phosphates, calcitonin, calcium chelators, increase fiber and moderate calcium, parathyroidectomy

what is the treatment for hyperparathyroidism

400

give the client 15 grams of fast acting simple carbohydrates, 3 or 4 glucose tabs for the equivalent of 15 grams of carbohydrates, dextrose gel, 4 ounces of fruit juice or regular soda / 6-10 hard candies / 2-3 teaspoons of sugar or honey

what is the treatment for hypoglycemia when they're conscious 

400

early onset of puberty 8 in girls 9 in boys, premature appearance of secondary sexual characteristics, accelerated growth, advanced bone maturation, appears older than chronological age but treat them by chronological age, often bullied and have a higher risk of abuse

what is precocious puberty 

500

Quantitative ultrasound and DXA 

what are ways to diagnose osteoporosis 

500

all patients with cirrhosis should be screened for esophageal varicies by an endoscopy, drug therapy (NO NSAIDs), endoscopic therapies, lifestyle changes (stop drinking alcohol, low salt diet, decrease sodium)

what are the nursing interventions for cirrhosis

500

IV calcium chloride, phosphorus binding drugs, increase calcium and decrease phosphorus 

what is the treatment for hypoparathyroidism

500

when insulin resistant leads to increased insulin production to attempt to maintain a normal glucose level. characterized by hypertension, hypercholesterolemia, and abdominal obesity. 

what is metabolic syndrome

500

height less than 5th percentile for age and gender, diminished growth rate, immature faces, delayed puberty, hypoglycemia, diminished muscle mass, micropenis

what are the manifestations of growth hormone deficiency