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15 Cards in this Set

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