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17 Cards in this Set

  • Front
  • Back
most common cause hypothyroidism
hashimoto's
exophthalmos, pretibial myxedema, decreased TSH
Grave's
first line Rx for growth hormone secreting pituitary adenoma
transsphenoidal surgical resection
source of lesion in cushing's syndrome with high ACTH
ectopic or pituitary
most common cause of cushing's syndrome
iatrogenic
2nd - cushing's disease
signs of hypocalcemia, high phosphorus, low PTH
hypoparathyroidism
h/a, weakness, polyuria
p/e - HTN, tetany
labs -hypernatremia, hypokalemia, metabolic alkalosis
primary hyperaldosteronism - Conn's or b/l adrenal hyperplasia
presents with tachcardia, wild swings in BP, h/a, diaphoresis, AMS, sense of panic
pheo
should alpha or beta antagonists be used first for pheo?
alpha
phentolamine
phenoxbenzamine
post-op pt with significant pain presents with hyponatremia and normal volume status
SIADH due to stress
Only indication for administering hypertonic saline in pt with SIADH
active seizures
antidiabetic agent associated with metabolic acidosis
metformin
morning hyperglycemia that is rebound response to nighttime hypoglycemia, not a need for more insulin? Treatment?
Somogyi effect.
decrease pm insulin dose
patient presents with weakness, nausea, vomiting, weight loss, new skin pigmentation. Labs - hyponatremia, hyperkalemia
Treatment?
addison's disease
replace gluco and mineralocorticoids
goal HbA1c
<7
treatment of DKA
fluids, insulin, aggressive replacement of electrolytes
why are beta-blockers contraindicated in DM
can mask symptoms of hypoglycemia