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112 Cards in this Set
- Front
- Back
epididymitis
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inflammation of epididymis causing scrotal pain
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population at risk for epididymitis
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young sexually active men
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urethral inflammation presenting with discharge and painful urination which is an STD in older men
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urethritis
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Benign Prostatic Hypertrophy
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previous family hx in men over 5
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second most common cause of cancer in men
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prostate cancer
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most common bacterially caused STD in US
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chlamydia
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how does chlamydia present in men and women
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cervicitis and urethritis
painful urination and discharge |
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ocular signs of chlamydia
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inferior palpebral conjunctiva follicle
chronic red eye |
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tx for chlamydia
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azithromycin
doxycycline oxyfloxin |
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std that causes hyperacute muccupureulent discharge
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gonorrhea
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symptoms of gonnorrhea
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asymptomatic or can have vagnal discharge urethritis, burn when pee
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gonorrhea tx
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1 dose ceftriaxone 125mg IM and doxycylcine 100 mg po BID x 7d
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why is doxycycline given to tx gonorrhea
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bc most of time chlamydia is w the gonorrhea
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Thayer Martin agar
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gonorrhea
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wright gram stain
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herpes simplex
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mucosal lesion on lips
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HSV 1
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mucosal lesion on mucosa of sex organs
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HSV 2
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prodrome of HSV
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itching
tingling irritation |
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HSV tx
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acyclovir
famcylovir |
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infection of cervix either due to vaginal infxn or STD can be asymptomatic or cause yellow discharge and/or postcoital bleeding
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cervicitis
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common but treatable form of cancer in one due to HPV
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cervical cancer
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diffuse breast pain and multiple dense lesions that do not increase risk of breast cancer
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fibrocystic breast dz
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small mobile firm mass with sharp edges affecting women under age 25
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fibroadenoma
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where do breast tumors metastize to the most
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retina
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malignant carcinoma of breast
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infiltrating ductile
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malignant lymphatic involving breast cancer with poor prognosis
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inflammatory
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malignant red patches on nipple
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paget's dz
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malignant multiple and bilateral clusters of cells in intraductal lobules in breast
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infiltarting lobular cancer
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malignany cellular carcinoma with scant stromal and lymphocytic infiltrates
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medullary
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protein malnutrition causing skin lesions, anemia, edema, and liver malfxn
SMALL child with SWOLLEN BELLY |
kwashiorkor
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protein calorie malnutrition causing tissue wasting
pt has wt loss and tissue loss |
marasmus
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what do alcoholics have
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increased liver enzymes and GGT
decreased pyruvate dehydrogenase and vitamin B |
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what are alcoholics prone to
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gallstones
hepatitis cirrohsis |
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psychosis, ophthalmoplegia, atatxia, memory loss, confusion, and vitamin B deficiency seen in alcoholics
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wernicke-korsakoff syndrome
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alcoholism tx
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disulfaraum
benzodiazepines |
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life threatening alcohol withdrawl 2-5 days after last drink
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deilirium tremens
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what fails to close in spina bifida
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posterior vertebral arches
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what is intact in spina bifida
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meninges
spinal cord |
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what can be seen in site of defect in spina bifida pts
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small skin dimple or hair
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asymptomatic spina bifida
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spina biffida oculta
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what symptoms seen in severe spina biffida
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lower body dysfxn of bowel, bladder, legs
decreased learning ability enlrg ventricles |
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most severe neural tube defect resulting in death because brain and cranial bones are absent
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anencephaly
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muscular hypertrophy of pyloric muscle in babies reulting in porjectile vomitting
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pyloric stenosis
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teratology of fallout
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right to left shunt causing blue babies
pulmonary stenosis cyanosis boot shaped heart |
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left to right shunt
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more common
blue kids VSD, ASD, PDA |
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mental slowness or retardation along with impaired vol muscle fxn, seizures, speech, sensory defects and hyperactiveness
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cerebral palsy
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type 1 diabetes melitus incidence and onset
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not common
juvenile |
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type 1 DM due to
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severe B cell depletion cant make insuln
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type 1 DM tx
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need insulin
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triad of type 1 DM
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polyuria
polydipsea weight loss |
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do type 1 DM get ketoacidosis
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yes
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are type 1 DM intolerant to glucose
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yes
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type 1 DM shows what in blood
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high glucose levels
Hb A1C |
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insulin does what
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puts glucose into cells
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DM is characterized by
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poor insulin response
glucose underutilizatio hyperglycemia |
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why do type 1 DM get ketoacidossi
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increase insulin demand
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type 2 DM incidence and onset
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most common
adulthood |
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triad of type 2 DM
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polyuria
polydipsea wt gain |
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type 2 DM are obese
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TRUE
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type 2 DM shows a genetic predisposition
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TRUE
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protein calorie malnutrition causing tissue wasting
pt has wt loss and tissue loss |
marasmus
|
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what do alcoholics have
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increased liver enzymes and GGT
decreased pyruvate dehydrogenase and vitamin B |
|
what are alcoholics prone to
|
gallstones
hepatitis cirrohsis |
|
psychosis, ophthalmoplegia, atatxia, memory loss, confusion, and vitamin B deficiency seen in alcoholics
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wernicke-korsakoff syndrome
|
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alcoholism tx
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disulfaraum
benzodiazepines |
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life threatening alcohol withdrawl 2-5 days after last drink
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deilirium tremens
|
|
what fails to close in spina bifida
|
posterior vertebral arches
|
|
what is intact in spina bifida
|
meninges
spinal cord |
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what can be seen in site of defect in spina bifida pts
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small skin dimple or hair
|
|
asymptomatic spina bifida
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spina biffida oculta
|
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what symptoms seen in severe spina biffida
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lower body dysfxn of bowel, bladder, legs
decreased learning ability enlrg ventricles |
|
most severe neural tube defect resulting in death because brain and cranial bones are absent
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anencephaly
|
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muscular hypertrophy of pyloric muscle in babies reulting in porjectile vomitting
|
pyloric stenosis
|
|
teratology of fallout
|
right to left shunt causing blue babies
pulmonary stenosis cyanosis boot shaped heart |
|
left to right shunt
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more common
blue kids VSD, ASD, PDA |
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mental slowness/retardation, imparied vol muscle fxn, seizure, speech and sensory defects
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cerebral palsy
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what characterizes DM
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poor insulin response
glucose underutilization hyperglycemia |
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incidence of type 1 dm
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not common 20%
|
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onset of type 1 dm
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young ppl
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cause of type 1 dm
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lack of insulin production due to defecient beta cells
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what is seen in blood work of DM
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high glucose
Hb A1C |
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what is one complication DM 1
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ketoacidosis
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tx of type 1
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insulin
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what 3 things are seen in type 1
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polyuria
polydyspia wt loss |
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type 2 onset
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adults
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type 2 cause
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peripheral insulin resistance make insulin but are resistant to it
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type 2 incidence
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most common 80%
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what is associated with type 2
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obesity and genetics
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tx of type 2
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exercise
diet glycemics insulin PRN |
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what 3 things seen in type 2
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polyueia
polydypsia wt gain |
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extreme thirst, frequent urination caused by ADH deficiency
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diabetes insipidus
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symptoms of hypothyroidism
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slow BMR
fat lazy lethargic decreased appetite constipation weak hairy cold intolerantt |
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lab work of hypothyroidism
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decrease T3 & T4
increased TSH |
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most common cause of hypothyroidism
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primary hypothyroidism
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secondary hypothyroidism
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TSH deficiency due to hypopituitarism
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autoimmune mediated destruction of thyroid gland seen in regions of iron defieciency
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hashimotos thyroiditis
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hyperthyroidsim symptoms
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increased BMR
skinny increased appetite anxious palpitations warm skin heat intolerant |
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autoimmune hyperthryoidism due to TSH Ab causing proptosis, EOM infiltration
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Grave's dz
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lab work of hyperthyroidism
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high T3 & T4
decreased TSH |
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hyperparathryoidism causes
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hypercalcemia
PTH puts Ca in blood |
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hyperPTH symptoms
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Bones, stones, abdominal groans, psychotic moans, fatigue overtones
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hypoPTH due to
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thyroidectomy
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hypoPTH causes
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tetany, muscle cramps, PSC, long QT and T waves
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hypoPTH does what to Ca
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hypolcalcemia
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over production of anterior pituitart due to pituitary adenoma or hypothalamic disorders
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hyperpituitarism
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under secretion of pituitary hormones due to pituitary adenomas, granulomas, aneurysms, brain tumors
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hypopituitarism
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autoimmune atrophy of adrenals
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addison's dz
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what happens is addison's dz
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not enough cortisol so weak, tired, anorexia, wt loss, diarrea, hypotension
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excessive corticosteroid production either due to ACTH deficiency or excessive secretion of cortisol in adrenals
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cushing's
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describe cushing's patient
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central obesity
moon face buffalo hump |
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very rare tumor of adrenal glands or anywhere in sympathetic nervous chain
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pheochromcytomas
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5 P's of pf pheocromocytoma
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high Pressure
Pain (HA) Perspiraton Pallor Anxiety - sense of doom |