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8 Cards in this Set

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  • Back
What is the most common mass lesion of the pituitary?

What signs/symptoms might you expect from a patient with this lesion?
The most common mass lesion of the pituitary in the adult is an adenoma that secretes prolactin, and this explains the amenorrhea-galactorrhea that she has been experiencing. A large sellar mass can compress the optic chiasm to produce bitemporal hemianopsia.
An increased serum alkaline phosphataase is associated with what bone disease?
Paget's disease
Hyponatremia may be a consequence of what?
Hyponatremia can be a consequence of the syndrome of inappropriate ADH, which most often occurs as a consequence of a paraneoplastic process, not a CNS lesion.
Is iodine uptake increased or decreased with Grave's disease?
The iodine uptake is increased with the hyperfunctioning thyroid of Graves disease.
What cancer is associated with increased calcitonin?
Calcitonin may be increased with medullary thyroid cancers, but is not with Graves disease.
What causes Waterhouse-Friderischsen syndrome?

What does the patient present with?
This is acute adrenal insufficiency marked by hyponatremia, hyperkalemia, and hypoglycemia. Infection with Neisseria meningitidis can produce the Waterhouse-Friderischsen syndrome.
(i.e. patient has meningitis)
What is the most common cause of primary adrenocortical insufficiency?
Idiopathic adrenalitis:
This is the most common cause for primary adrenocortical insufficiency, but it is not a problem that manifests acutely.
Q4
Q4