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209endocrine
Ch 36-38
| Question | Answer |
|---|---|
| Pituitary Adenoma | Insulin antagonist, excessive GH leading to ACROMEGALY |
| Diabetes Insipidus | Decreased ADH; produces large amounts of urine, fluid volume deficient; Tx- Desmopressin, VS, I |
| SIADH | Increased ADH, fluid retention, hyponatremia, P/T- restrict fluid intake |
| Hyperthyroidism | Graves' disease, increased TSH; weight loss, exophthalmos; radioactive iodine/ablation therapy |
| Thyroidectomy | Tracheostomy set at bedside |
| Thyroid Storm | Sudden and extreme elevation of all body processes |
| Hypothyroidism | Decreased TSH; decreased appetite & weight gain; Levothyroxine treatment; avoid rushing the Pt |
| Levothyroxine | Gradually increase until proper level reached, take on empty stomach, same time each day |
| Hypoparathyroidism | Decreased calcium; Dx-EEG, serum calcium levels; Tx- Ca gluconate |
| Pheochromocytoma | Adrenal medulla tumor; sever HTN, malaise, vulnerable to cardiac dysrhythmias; replacement hormone therapy |
| Adrenal Insufficiency | Decreased cortisol resulting in decreased vascular tone, hypotension |
| Cushing Syndrome | Increased ACTH; moon face, buffalo hump, hirsutism; diet low in sodium, high in potassium |
| Anterior Pituitary | Growth Hormone |
| Anterior Pituitary | Thyroid Stimulating Hormone |
| Anterior Pituitary | Adrenocorticotropic Hormone |
| Anterior Pituitary | Follicle Stimulating Hormone |
| Anterior Pituitary | Lutenizing Hormone |
| Anterior Pituitary | Prolactin |
| Posterior Pituitary | Antidiuretic Hormone |
| Posterior Pituitary | Oxytocin |
| Calcitonin | Decreased blood calcium by inhibiting bone breakdown |
| PTH | Increased blood calcium |
| Adrenal Cortex | Mineralocorticoids(aldosterone), Glucocorticoids(cortisol) |
| Endocrine Disorders | Medications, Trauma, Hormone therapy |
| Pituitary Adenoma | Increased GH (acromegaly) |
| Diabetes Insipidus | Decreased ADH |
| SIADH | Increased ADH (Fluid excess) |
| Hyperthyroidism | Increased TSH (Graves') |
| Hypothyroidism | Decreased TSH |
| Hyperparathyroidism | Increased PTH (increased Ca) |
| Hypoparathyroidism | Decreased PTH (decreased Ca) |
| Adrenalcortical Insufficiency | Decreased ACTH, Decreased Cortisol (Addison's) |
| Cushings | Increased ACTH |
| Thyroid Scans | Radioactive iodine uptake |
| Hypophysectomy | Removal of pituitary |