Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
35 Cards in this Set
- Front
- Back
|
Disorders of the pituitary are caused by
|
Tumors, hypofunction, diabetes insipidus, SIADH
|
|
|
Tumors of Pituitary gland
malignant or benign what does hormone is secreted |
Usually benign
secretes GH at excessive rate |
|
|
S&S of Pituitary tumor
|
Headache, visual disturbances, weakness, fatigue, increased GH production.
|
|
|
Dx for pituitary tumor
|
CT
MRI opthanmologic eval |
|
|
Tx for pituitary tumor
|
Hormone therapy to decrease GH lvls
hypophysectomy |
|
|
Pituitary hypofunction
examples of what causes it |
decreased in level of 1 or more hormones
most common cause is tumor or autoimmune |
|
|
Sheehan syndrome is seen in what type of women
|
Postpartum women
|
|
|
Most common hormone deficiency in sheehan syndrome is
|
GH
|
|
|
S&S of Sheehan syndrome
|
visual change,
headache, anosmia (loss of smell) |
|
|
Dx for Sheehan syndrome
|
H&P
Lab tests MRI CT |
|
|
Tx for sheehan syndrome
|
lifelong hormone replacement
somatropin subcut to replace GH surgical tumor removal (if needed) |
|
|
What is Diabetes insipidus (DI)
Characterized by caused by |
Characterized by >2.5 liters a day of urine
caused by decreased production of ADH |
|
|
Causes of Central DI
|
brain tumors
head injury neurosurgery CNS infection |
|
|
Causes of nephrogenic DI
|
Drugs (lithium) and kidney disease
|
|
|
Dispogenic DI
|
increased H2O intake
often associated with schizophrenia |
|
|
S&S of DI
|
thirst
weakness nocturia hypotension constipation hypernatremia severe dehydration |
|
|
Dx for DI
|
Urine and plasma osmolality
specific gravity H2O depreivation test |
|
|
Tx for DI
|
fluid and electrolyte replacement
hormone therapy hypertonic saline |
|
|
What does SIADH stand for
What is it the opposite of |
syndrome of inappropriate antidiuretic hormone
opposite of DI |
|
|
S&S for SIADH
|
confusion, seizure, weight gain, edema, hyponatremia,
|
|
|
Dx of SIADH
|
urine and serum tests
decreased BUN Hgb, Hct, creatinine increased urine Na |
|
|
Tx for SIADH
|
fluid restriction (<500-1k ml per day)
Diuretics Hypertonic enemas. |
|
|
What does a goiter look like
|
enlarged thyroid gland and neck
|
|
|
S&S associated for PT w/ Goiter
|
front neck enlargement, dysphagia, and dyspnea
|
|
|
Two causes of a Goiter
|
Iodine deficiency
unknown etiology |
|
|
Tx for Goiter
|
Preparations with iodine, possible surgery
Given with straw |
|
|
Adverse effects with Iodine Tx for Goiter
|
GI upset
metallic taste skin rash allergic reaction epigastric pain |
|
|
Hyperthyroidism
Men or women at greatest risk What age range |
Women
30-50 |
|
|
Primary hyperthyroidism
excessive or diminished production of what hormones |
excessive production of T3 and T4
|
|
|
Secondary hyperthyroidism
What sex and activity doubles risk |
abnormality with another gland
women and smokers double risk |
|
|
S&S or hyperthyroidism
|
weight loss, insomnia, tremors, agitation, tachycardia, edema, diarrhea,
|
|
|
Graves disease is caused by what influx of hormone?
|
T3
|
|
|
Exophthalmus is characterized by _____
|
eyeball protrusion and enlarged thyroid
|
|
|
Dx of hyperthyroidism
|
thyroid hormone test
|
|
|
Tx for hyperthyroidism
|
radioactive Iodine (131I)
|
