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25 Cards in this Set
- Front
- Back
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Estrogen, Prog. and Testosterone LOW
FSH and LH LOW-NORM |
Gonadotropin Secreting Tumor
Secretes non-functioning hormone Secondary Hypogonadism (No AP) |
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Free T4 is HIGH
TSH is HIGH |
TSH Secreting Adenoma- RARE
or Resistance: Thyroid Hormone Receptor Mutation (AD) Goiter, Attn. Deficit, Hyperactivity |
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LOW T3/T4
LOW-NORM TSH |
Secondary Hypothyroidism
Test by TRH Stimulation |
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HIGH TSH
T3/T4 LOW |
Primary Hypothyroidism
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engolir
to swallow |
engulo, engole, engolimos, engolem
engolia, engolia, engolíamos, engoliam engoli, engoliu, engolimos, engoliram |
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Estrogen, Prog. and Testosterone LOW
FSH and LH LOW-NORM |
Gonadotropin Secreting Tumor
Secretes non-functioning hormone Secondary Hypogonadism (No AP) |
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Free T4 is HIGH
TSH is HIGH |
TSH Secreting Adenoma- RARE
or Resistance: Thyroid Hormone Receptor Mutation (AD) Goiter, Attn. Deficit, Hyperactivity |
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LOW T3/T4
LOW-NORM TSH |
Secondary Hypothyroidism
Test by TRH Stimulation |
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HIGH TSH
T3/T4 LOW |
Primary Hypothyroidism
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TSH LOW
T3 and T4 HIGH |
Thyrotoxicosis- Primary Hyperthyroid
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Cortisol HIGH
ACTH NORM-HIGH |
Cushings Disease (ACTH tumor)
Centripetal Obesity, Moon Facies, Dorsocervical Fat and Striae Test: Urine Free Cortisol and low-dose Dexamethasone Supression |
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ACTH Very Elevated
Recent Adrenal Surgery |
Nelson's Syndrome
ACTH Tumor following Adrenectomy Symptoms of hyperpigmentation and mass effect |
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LOW ACTH
LOW CORTISOL |
Secondary Adrenal Insufficiency
Hypo-secretion of ACTH due to exogenous steroids or tumor or surgery leads to atrophy of adrenal glucocorticoid region TEST: Insulin Tolerance Test, Aldo normal |
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Cortisol HIGH
ACTH- HIGH |
Glucocorticoid Resistance
Hypertension and hypokalemia also present because cortisol binds MC Receptor |
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Patient with coarsen features, prominent supraorbital ridge, wide-spaced teeth, large hands and feet and oily skin
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Screen for Increased IGF 1
Try to suppress with Glucose Tolerance Test (Doesn't work-- GH secreting tumor) |
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Cortisol HIGH
ACTH NORM-HIGH |
Cushings Disease (ACTH tumor)
Centripetal Obesity, Moon Facies, Dorsocervical Fat and Striae Test: Urine Free Cortisol and low-dose Dexamethasone Supression |
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ACTH Very Elevated
Recent Adrenal Surgery |
Nelson's Syndrome
ACTH Tumor following Adrenectomy Symptoms of hyperpigmentation and mass effect |
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LOW ACTH
LOW CORTISOL |
Secondary Adrenal Insufficiency
Hypo-secretion of ACTH due to exogenous steroids or tumor or surgery leads to atrophy of adrenal glucocorticoid region TEST: Insulin Tolerance Test, Aldo normal |
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Cortisol HIGH
ACTH- HIGH |
Glucocorticoid Resistance
Hypertension and hypokalemia also present because cortisol binds MC Receptor |
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Patient with coarsen features, prominent supraorbital ridge, wide-spaced teeth, large hands and feet and oily skin
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Screen for Increased IGF 1
Try to suppress with Glucose Tolerance Test (Doesn't work-- GH secreting tumor) |
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Child presents with Short Stature
Predicted Results of Insulin Tolerance? |
No response to insulin because GH DEFICIENCY
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Patient with Short Stature does not respond to GH therapy
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Laron's Syndrome (GH Resistance)
High GH but low IGF-1 |
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Patient presents with amenorrhea and galactorrhea and hirsutism. Tests to run?
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Pregnancy Test
Prolactin Levels TSH Levels |
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DI or Psychogenic Polydipsia?
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Water Deprivation Test
PPs will start to concentrate their urine as they increase ADH |
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Central or Nephrogenic DI?
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Response to DDAVP (Vasopressin)
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