Pancreas
Epigastric pain radiating to the left flank and left shoulder.
What is 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 & 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. Treatment = potassium, iodide, PTU, Propanolol & 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 treatment for acute pancreatitis?
Contaminated food, water, shellfish and feces.
What is transmission route of Hepatitis A
Hyperthermia, tachycardia, agitation, restlessness, tremors, seizures, abdominal pain, nausea and vomiting.
What is thyroid storm?
Gigantism, abnormally tall, acromegaly, bones of hands and feet grow rapidly, enlarged forehead and irregular menses.
What is hyperpituitarism?
24 hr 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 encephalopathy.
What are the signs and symptoms of portal hypertension?
Lethargy, muscle aches and weakness, constipation, intolerance to cold, facial/eyelid edema, weight gain and hair loss.
What is hypothyroidism?
Following a transsphenoidal hypophysectomy the nurse notices CSF leakage from the patient's nose.
What is a halo sign?
IV fluids and glucocorticoids are given as treatment.
What is Addisonian Crisis?
Recurrent condition commonly caused by ETOH abuse, s/s = recurrent pain, nausea, constipation, steatorrhea, advise 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.
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 Beta Blocker.