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15 Cards in this Set

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Simmon's disease
panhypopituitarism
growth retardation
cold intolerance
hypogonadism
absent axillary/pubic hair
genital/breast atrophy
lower muscle mass
short stature
Sheehan's syndrome
failure to lactate postparturition
GH deficiency
mc isolated deficiency in children
slow/stunted growth
delayed pubertal changes

adrenal androgens can help but no sym after adulthood
gonadotropin deficiency
eunuchoid in children
no growth spurt

in adults, atrophied genitalia/breast
amenorrhea
body hair loss
muscle mass loss
prolactinoma
amenorrhea
galactorrhea
decreased libido

TREAT WITH L-DOPA OR BROMOCRYPTINE
GH excess
gigantism before puberty
acromegaly after puberty

TREAT WITH radiation and surgery
pheochromocytoma definition
paroxysmal HTN in young to midadults
etiology of pheochromocytoma
most common - tumor of adrenal medulla (unilateral and solitary)
s/s of pheochromocytoma
TRIAD:

H/A
heart palpitations
hyperhidrosis

hypermetabolism
HTN
hyperglycemia

6 H's + a triad
pheochromocytoma labs
plasma free metanephrines (most sensitive)

the most specific are
24 hr urine metanephrines
24 hr urine VMA
radiological diagnosis of pheochromocytoma
adrenal CT and MRI
MIBG scan
management pheochromocytoma
alpha adrenergic receptor antagonists --> phenoxybenzamine, phentolamine

beta blocker (AFTER ALPHA) --> propanalol
classifications of hypoglycemia
post prandial or reactive

fasting

secondary

factitious
autonomic symptoms of hypoglycemia
diaphoresis
tremors
flushing
anxiety
nausea
neuroglycopenic symptoms of hypoglycemia
dizziness
mental confusion
fatigue
dysarthria
h/a
poor concentration or amnesia
seizures