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17 Cards in this Set
- Front
- Back
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The most common cause of hypothyroidism
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Hasimoto's thyroiditis
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Lab findings in Hashimoto's thyroiditis
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High TSH, low T4, and antimicrosomal antibodies
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Exophthalmos, pretibial myxedema, and decreased TSH.
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Grave's disease
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The most common cause of Cushing's syndrome.
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Iatrogenic corticosteroids. The second most common is cushing's disease (ACTH producing tumor)
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A pt presents w/ hypocalcemia, high phosphorus, and low PTH
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Hypoparathyroidism
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Stones, bones, groans, and psychic overtones.
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Hypercalcemia
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A pt c/o HA, weakness, polyuria; exam reveals HTN and tetany. Labs show elevated Na, low K, and metabolic alkalosis.
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Primary hyperaldosteronism (Conn's syndrome or bilateral adrenal hyperplasia)
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A pt presents w/ tachy, flucutation BP, HA, diaphoresis, AMS, and a sense of panic.
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Pheochromocytoma
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Treatment of pheochromocytoma
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Alpha blockers FIRST (phentolamine or phenoxybenzamine) then B-Blockers
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Pt w/ history of Lithium use present w/ copious urination that is dilute.
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Nephrogenic DI
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Treatment of central DI
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DDVAP and water restriction
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A post-op patient presents w/ low Na and normal volume status.
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SIADH secondary to operative stress
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An antidiabetic agent associated w/ lactic acidosis
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Metformin
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A pt presents w/ weakness, N/V, weight loss, and new skin pigmentation. Labs show low Na and high K? Treatment?
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Primary adrenal insufficiency (aka Addison's diease). Treat w/ replacement of glucocorticoids, mineralocoricoids, and IVF.
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Goal HgbA1c for a pt w/ DM.
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<7.0
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Treament of DKA.
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Fluids, insulin, and aggressive replacement of electrolytes (esp. K)
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Why are B-blockers contraindicated in diabetics
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They mask symptoms of hypoglycemia
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