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NPTE endocrine

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Gaves   hyperthyroidism   ex intolerance palpitations tachycardia heat intol fatigue  
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Addison's   Adrenal insufficiency   dec. cold tol dec. endurance weak bronze wt. loss  
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Cushing's   excess cortisol by adrenal cortex (or meds)   muscle atrophy, obesity,moon face, edema inc risk of infection, HTN, dec. bone density  
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Insulin   dec. glucose    
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glucagon   inc. glucose    
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DM dx   fasting glucose >126 random plasma glucose >200 w/ polydipsia, polyuria, polyphagia    
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Diabetic ketoacidosis   usu. type I after illness ketones in urine    
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DM type II   inc. glucose production, dec. insulin production, inappropriate glucagon secretion    
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hypoglycemia early sx:   <70 mg/dL - rapid dizzy poor coordination, unsteady gait fatigue, weakness faint tachycardia, palpitations sweating shaky pallor excessive hunger    
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hypoglycemia late sx:   late sx: nervous/irritable HA blurred or double vision drowsy confusion LOC coma    
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Hypoglycemia response:   give sugar If unresponsive - Immediate medical attention    
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Hyperglycemia   >300 - gradual weak, inc. thirst, dec appetite, n/v abdominal tenderness dry mouth freq. scant urination dulled senses, paresthesias flushed deep, rapid respirations pulse: rapid, weak fruity breath hyperglycemic coma   immediate medical tx  
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Ex precautions for DM   hypoglycemia do not ex if glucose <70 or >300 blunted BP, HR incompetencies - use RPE avoid ex 2-4h after insulin injection    
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Hashimoto's   Autoimmune Hypothroidism   cold intol possible ex intol weakness atrophy ex induced myalgia dec. CO, BP  
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Created by: carter27
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