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17 Cards in this Set

  • Front
  • Back
most common cause of hypothyroidism
Hashimoto's thyroiditis
lab findings in Hashimoto's thyroiditis
hi TSH
low T4
anti-microsomal antibodies
exophthalmos, pretibial myxedema and low TSH
Graves' disease
most common cause of Cushing's syndrome
iatrogenic steroid administration; second most common is Cushing's Disease
pt presents with signs of hypocalcemia, high phosphorous and low PTH
'stones, bones, groans, psychiatric overtones'
signs and sx of hypercalcemia
pt complains of HA, weakness, and polyuria; exam reveals HTN and tetany. labs reveal hypernatremia, hypokalemia and metabolic alkalosis. dx and 2 possible underlying diseases?
primary hyperaldosteronism (due to Conn's syndrome or bilateral adrenal hyperplasia)
pt presents with tachycardia, wild swings in BP, HA, diaphoresis, altered MS, sense of panic
should alpha- or beta-antagonists be used first in tx pheochromocytoma? name 2.
alpha-antagonists (phentolamine and phenoxybenzamine)
pt with hx of lithium use presents with lots of dilute urine
nephrogenic diabetes insipidus (DI)
tx of central DI
administer DDAVP (to decrease serum osmolality) and free water restriction
a postop pt w/ significant pain presents with hyponatremia and nl volume status
SIADH due to stress
anti-diabetic agent associated w/ lactic acidosis
pt presents w/ weakness, nausea, vomiting, wt loss, and new skin pigmentation. labs show hyponatremia and hyperkalemia. dx and tx?
primary adrenal insufficiency (Addison's disease). tx w/ replacement glucocorticoids, mineralocorticoids, and IV fluids
goal hemoglobin A1c for a pt w/ DM?
< 7.0
tx of DKA
fluids, insulin, and aggressive replacement of lytes (eg. K+)
why are beta-blockers contra-I in diabetics?
can mask sx of hypoglycemia