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12 Cards in this Set
- Front
- Back
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What is the MC pituitary tumor & what is the rx
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MC = Prolactinoma
Tx = bromocriptine, cabergoline, or pergolide |
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Dx:
16 y/o with left arm paralysis (no medical cause is found) after her boyfriend dies in a MVA |
Conversion d/o
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What effect would giving a B-Blocker have on a pt with HTN due to pheochromacytoma
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Worsen HTN due to unopposed a1-activity
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What is the likely condition of a female infant with virilization of the genitalia & hypotension
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21a-hydroxylase def --> CAH
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What serum lab abnormalities would you see in 17a-hydroxylase deficiency & in 21a-hydroxylase deficiency
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17a-HYDROXYLASE DEFICIENCY:
hypokalemia mild hypernatremia + HTN 21a-HYDROXYLASE DEFICIENCY: hyperkalemia hyponatremia + hypotension |
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Dx:
A pt with acromegaly is found to have elevated Ca2+ on a blood draw during a w/u of his peptic ulcer |
DX: MEN I ("3 P's"):
acromegaly = pituitary d/o elevated Ca2+ = hyperparathyroidism peptic ulcer = gastrin-secreting tumor (ZES) |
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What is involved in MEN I Syndrome
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Mnemonic: "3 P's"
parathyroid hyperplasia pituitary pancrease (islet) or GI |
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What is involved in MEN IIa Syndrome
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Mnemonic: "1M + 2 P's"
medullary thyroid carcinoma parathyroid hyperplasia pheochromacytoma |
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What is involved in MEN IIb Syndrome
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Mnemonic: "2 M's + 1P"
medullary thyroid carcinoma mucosal neuromas pheochromacytoma |
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What oncogene is involved with the MEN Syndromes & with which type is it associated
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RET Proto-Oncogene
a/w Men IIa & Men IIb |
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What are the MCC's of eosinophilia
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Mnemonic: "DN-AAA-CP" (D-N triple-A C-P):
Drugs Neoplasms Allergic causes (allergies, asthma, Churg-Strauss) Addison's Ds Acute Interstitial Nephritis CVD's Parasitic Infections (including Loeffler's Eosinophilic Pneumonitis 2nd/2 Ascaris Lumbricoides) |
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causes of secondary HTN
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pheochromacytoma
hyperaldosteronism excess glucocorticoids cushing's syndrome renal artery stenosis CAH (11a-OH & 17a-OH def's) CKD OCP coarctation of aorta |
