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22 Cards in this Set

  • Front
  • Back

Drugs causing incrsd TBG

Estrogen


Tamoxifen


Clofibrate


Narcotics


Hepatitis


Biliary cirrhosis

Drugs dcrsg TBG

Androgens


Glucocorticoids


Nephrotic syndr


Genetics/familial

Drugs blocking periph conversion T4 to T3

Propanolol


Glucocorticoid


PTU


Amiodarone

Drugs blocking thyroid release of T3 & T4

Lithium


Iodine

Newborn fails NBS w low T4. What to do?

Nothing. Free T4, nl TSH in these pts

Teenage girl w Hi T4 on labs but no sxs. What do know?

On OCP, estrogen causing Hi TBG & T4 but nl free T4. No meds needed.

Incrsd radioiodine uptake causes

Graves disease


Hot nodule (multinodular goiter, toxic solitary nodule, hCG secreting tumor)

Dcrsd radioiodine uptake causes

Self limited thyroiditis


Amiodarone


Thyroiditis facitia

Low TSH, low free T4 or nl TSH, low free T4

Hypothalamic (tertiary) hypothyroid


Pituitary (secondary) hypothyroid

MEN type I

PPP


Pancreas tumor


Pituitary tumor


Hyperparathyroidism

MEN type 2A

Pheochromocytoma


Medullary thyroid cancer


Hyperparathroidism

MEN type 2B

Medullary thyroid cancer


Pheochromocytoma


Mucosal neuroma

Graves dz labs

Thyroid stimulating immunoglobulin

Hashimotos labs

Thyroglobulin Abs


Thyroid peroxidase Abs

Fibrous dysplasia findings

Lucency w homogenous matris resembling Ground glass

21 hydroxylase defic

Salt wasting, virilizing

11B hydroxylase deficiency

Virilization, HTN


No salt wasting

21 hydroxylase defic labs

Low Na, Cl


Hi BUN, K


Hi renin, low aldosterone


Hi 17 OHP

11B hydroxylase defic labs

Hi 11-deoxyxorticosterone


Low renin, aldosterone

Bartter syndrome

Hi aldosterone, Hi renin


No HTN


P/w severe dehydration in preterm w polyhydramnios


Hi urine Ca, nephrocalcinosis

Gitelman syndrome

Hi aldosterone, Hi renin


No HTN


P/w MSK probs, hypicalciuria, low Mg

Liddle syndrome

AD


HTN, lo K


Low renin & aldosterone