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12 Cards in this Set
- Front
- Back
diabetic pt age 40-75 means |
give them a statin regardless of their lipids |
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woman is all manly and has adrenal mass. what is specific to there for hormone measure |
DHEA-S
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examples of dopaminergic agents |
bromocriptine cabergoline |
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how to dx adrenal insufficiency |
ACTH level early morning cortisol cosyntropin test (giving ACTH analogue and seeing if cortisol response) |
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what is the w/u of acromegaly |
IGF-1 levels glc suppression test MRI of brain looking elsewhere if no mass found there |
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carcinoid syndrome |
tumors slow grow. release serotonin and histamine. can run out of niacin or tryptophan |
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how all can you treat diabetic nerve pain? |
gabapentin tricyclic antidepressents NSAIDs (not if renal dmg) |
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what do you do for pt who has MEN 2 RET proto oncogene |
ppx thyroid removal |
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what all does metoclopramide do |
prokinetic of bowels and antiemetic |
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how does estrogen affect thyroid |
increases level of thyroxine binding globulin so need more T4 to have proper free T4 levels if pt on thyroid replacement will need to increase |
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how does hyperventilating affect calcium? |
albumin normally carries hydrogens but they're gone (resp alkalosis), so more Ca globs onto albumin |
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why exactly do diabetic foot ulcers happen |
neuropathy microvascular insufficiency relative immunosuppression |