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14 Cards in this Set
- Front
- Back
Clinical findings of hypoathalmic dysfunction?
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Central diabetes insipidus, secondary hypopituiatrism, hyperprolactinemia (decreased dopamine), precocious puberty (boys midline hamartoma), visual disturbances. mass effects, Kallman's syndroem
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Clinical findings of pineal gland tumor:
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paralysis of upward conjugate gaze (Parinaud's syndrome), ostructive hydrocephalius (compression of the aqueduct of sylvius in 3rd ventricle
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Tumors of MEN I
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pituiary ADENOMA (MOST COMMON CAUSE OF HYPOPITUITARISM), hyperparathyroidism, pancreatic tumors
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Craniopharygioma
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most common cause of hypopituiatrism in kids, benign pituitary tumor from Rathke's pouch remnants
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Pituiatary apoplexy
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sudden onset of dysfunction, d/t hemorhage/infarction f preexisting adenoma, clincial onset of headache, visual disturbances, hormone dysfunction (includes Sheehan's syndrome)
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Empty Sell syndrome
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Anatomic defect, Fills up the sella with CSFincrease in pressure on pituiary causes it to flatten out, pituitary hypofunction
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Prolactinoma
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most common pituitary tumor, amenorhea and glactorhea in women, impotence and headache in men, > 200 ng/mL serum prolactin levels
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Alterations in thyroid binding globulin:
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alter total serum T4 no effect on free T4 or TSH
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Findings of acute thyroiditis
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typically bacterial infection, fever, tender gland with paingul adenoppathy, thyroptocicosis from gland destruction, decreased radioidodide uptake
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Subacute granulomatous thyoriditis
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d/t viral infection, occurs more often in women, granuomatous inflammaiton and multinucleated giant cells, paingul thyroid, no cervicaladenopathy, preceded by URI, permanent hypothyroisim is uncommon
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Reidel's thyroiditis
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fibrous tissue replacement and fibrosis of land, associated with other sclerosing conditions
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Subacte painless lymphocytic thyroiditis
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autoimmune develops post partum, glands lack follicles, abrupt thyrotoxicosiss (painless), progresses to hypothytoidism, antimicrosomal antibodies
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Pt has tacharrhymias, high body temp, shock and coma, tx?
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B-blocker and thioamides (thyroid storm)
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Papillary adenocarcinoma
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most common endocrine cancer, 2nd or 3rd decdes d/t radiation exposure, Psammonia bodies (calcified cancer cells), lymph invasion
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