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39 Cards in this Set
- Front
- Back
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S/Sx Hypothyroidism
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fatigue, wt gain, brittle nails, dry skin, periphneuropathy, hoarse voice, low T & P, mask-like appear, hair loss
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Cause of: Myxedema coma
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severe hypothyroidism
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S/Sx Myxedema coma
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Hypothermia
hyponatremia hypoglycemia hypoventilation |
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s/sx Hyperthyroidism or "Grave's Disease"
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nervousness, palpitations, high P & T, tremor of hands, wt loss, diffuse pruritis, skin flushed
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Cause of Thyroid Storm
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severe hyperthyroidism
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S/Sx Hypothyroidism
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fatigue, wt gain, brittle nails, dry skin, periphneuropathy, hoarse voice, low T & P, mask-like appear, hair loss
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s/sx thyroid storm
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High T & P, high GI (wt loss, diarrhea, ABD pain), palpations, dilirium, coma
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Cause of: Myxedema coma
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severe hypothyroidism
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s/sx Hyperparathyroidism
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bone decal (Ca goes into blood), kidney stones, fatigue, constipation, irritable psych, dysrhyths
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S/Sx Myxedema coma
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Hypothermia
hyponatremia hypoglycemia hypoventilation |
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Tx of hyperparathyroidism
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parathyroidectomy
hydration therapy (2000mL) mobility avoid Ca in diet |
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s/sx Hyperthyroidism or "Grave's Disease"
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nervousness, palpitations, high P & T, tremor of hands, wt loss, diffuse pruritis, skin flushed
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Hypercalcemic Crisis
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comp of hyperparathyroidism
>15mg/dL neuro, carido & renal sx TX: calcitonin, hydration, diuretics |
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Cause of Thyroid Storm
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severe hyperthyroidism
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s/sx Pheochromocytoma
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HA
HTN hyperhidrosis hypermetabolism hyperglycemia |
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s/sx thyroid storm
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High T & P, high GI (wt loss, diarrhea, ABD pain), palpations, dilirium, coma
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s/sx Hyperparathyroidism
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bone decal (Ca goes into blood), kidney stones, fatigue, constipation, irritable psych, dysrhyths
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Tx of hyperparathyroidism
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parathyroidectomy
hydration therapy (2000mL) mobility avoid Ca in diet |
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Hypercalcemic Crisis
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comp of hyperparathyroidism
>15mg/dL neuro, carido & renal sx TX: calcitonin, hydration, diuretics |
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s/sx Pheochromocytoma
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HA
HTN hyperhidrosis hypermetabolism hyperglycemia |
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Cause Pheochromocytoma
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too much epi/ norepi from medulla
"sudden fight or flight" |
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diet: Pheochromocytoma
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no caffiene, tea...
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cause: Addisons / Adrenal Insufficiency
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too low ACTH from pituitary or
too low output from cortex |
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s/sx Addison's / Adrenal Insufficiency
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Hypotension
hypothermia hyponatremia Hyperkalemia hypercalcemia hyperpigmentation |
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cause Cushing's Disease
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too much ACTH
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s/sx Cushings
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moon face
buffalo hump central obesity, thin extrems skin thin w/ echy & striae opp Addisons |
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Dx: Cushings
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overnight Dexamethasone suppression test (measures cortisol levels)
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Fx of Liver
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glucose metab
stores as glycogen synthesizes makes ammonia protein metabolism fat metabolism stores A,C, B complex, iron drug metab bilirubin excretion (conjugates) |
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Liver Fx tests (via serum)
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AST, ALT, GGT
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What level jaundice shows clinically
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2.5 mg/dL
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Comps of cyrrhosis
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portal hypertension
ascites esophageal varices coaguation defects jaundice encephalopathy hepatorenal synd (oliguria, hi bun) |
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treatment cirrhosis encephalopathy
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lactulose--ammonia
neomycin--ammonia |
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Fx pancreas
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exocrine to GI via pancreatic duct
amalase--carbs trypsin-proteins lipase--fats endocrine insulin--lowers glucose (beta) glucagon--raises BS (alpha) somastatin--lows BS (delta) |
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s/sx cholecystitis
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URQ pain, rigidity
radiates to scapula p hi fat foods biliary obstruc s/sx |
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s/sx cholelithiasis
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pain r/t hi fat meal
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s/sx acute pancreatitis
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ULQ mid-epigastric pain
aggravated by heavy meal/alco Cullen's sign (blue ABD) Turner's sign (blue flanks) |
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s/sx chronic pancreatitis
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plus steatorrhea
wt loss jaundice muscle wasting s/sx diabetes |
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T-tube fx
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holds open bile duct for drng
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T-tube care
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semi-Fowlers
keep drng sys below level gallbladder clamp tube B4 meal |
