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15 Cards in this Set
- Front
- Back
parasellar sx
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headache
changes in vision |
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do men or women have a higher rate of parasellar sx associated w prolactinomas
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men
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tx of prolactinoma
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bromocriptine x 2yrs
or cabergoline (both are DA agonists) surgery if no response to medication |
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dx of acromegaly
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incresaed igf 1
the do glucose suppresion test (glucose normally supresses gh) |
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how should random gh level testing be done
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it shouldn't be done... it's not useful
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associated sx (aside from teh obvious) of acromegaly
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increased glucose, tg, po4, and prl levels
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causes of central DI
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sarcoid
tb syphilis encephalopathy |
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causes of nephrogenic di
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lithium
hypokalemia hypercalcemia |
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tx of central di
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ddavp
chlopromide (increases adh secretion and enhances adh effects) |
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tx of nephrogenic di
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hctz (works by depleting body of na --> reabsorptionof na and water in proximal tubules)
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why is there no edema in siadh
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natriuresis also occurs b/c the body senses increased blood volume, and secretes anp, causing natriuresis
decreased proximal tubule reabsorption of na b/c of increased volume raas is inhibited |
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tx of siadh
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if no sx: water restriction or ns + loop diuretic
if sx: water restriction + isotonic saline |
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difference between cushing syndrome and cushing dz
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syndrome = increased gc
dz = increased acth from pit |
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effect of hypocalcemia on reflexes
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increased
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pseudohypoparathyroid
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end organ doesn't respond to pth
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