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endocrine disoders
| Question | Answer |
|---|---|
| hyperparathyroidism | causes - tumor, chronic kidney disease Sx - bone pain/fractures, muscle weakness, fatigue, kidney stones, constipation treatment - remove tumor, diuretics |
| hypoparathyroidism | causes - removal of parathyroid, radiation, autoimmune destruction Sx - paresthesia (tingling), seizures, musckle cramps/tetany, postive chvastek and trasseau treatment - calcium supplement/diet, vitamin D |
| hyperthyroidism | causes - graves, nodules Sx - tachycardia, weight loss, heat intolerance, tremors, anxiety treatment - antithyroid meds, thyroidectomy, radioaactive iodine |
| hypothyroidism | causes - thyroidectomy, autoimmune destruction, radioactive iodine Sx - bradycardia, weight gain, cold intolerance, constipation, fatigue treatment - levothyroxine |
| addison's | causes - infection, autoimmune destruction of adrenal cortex Sx - hyperpigmentation, decreased: glucose, Na, water, increased: K, anorexia, N/V, diarrhea, hypotension treatment - high protein and cards diet, meds: glucocorticoid and mineralocorticoid |
| cushing | causes - females, overuse of cortisol meds, tumor Sx - moon face, buffalo hump, obesity with thin extremeites, increased: glucose and Na, decreased K and Ca, HTN treatment - adrenalectomy, avoid infection, if tumor: admin chemotherapeutic agents |
| dwarfism | causes - genetic Sx - short stature, proportional body, delayed/absent puberty treatment - GH replacement, supportive care |
| acromegaly | causes - tumors Sx - joint pain, enlarged hands feet and facial bones, thick skin/sweating, HTN, sleep apnea, carpal tunnel treatment - remove tumor, control GH |
| giantism | causes - tumor, genetic syndrome Sx - rapid and excessive growth, large hands and feet, delayed puberty, headache or vision changes, muscle weakness/joint pain treatment - remove tumor, radiation therapy, medications |
| SIADH | causes - CNS problems (tumor), pulmonary diseases, meds Sx - concentrated low urine, fluid overload, hyponatremia, HTN, tachycardia, N/V treatment - decrease fluids, seizure precations, meds: loop diuretics, vasopressin antagonists, removal of tumor |
| DI | causes - brain tumor/head trauma, infection CNS, failure of renal tubules Sx - diluted & lots of urine, polydipsia, dehydration, OHTN, muscle pain, tachycardia treatment - increase fluids, ADH replacement (vasopressin/demopressin), IV hypotonic saline |
| posterior pituitary gland - hormone and disorders | ADH - SIADH (increased) and DI (decreased) Cortisol - addison's (decreased) and cushing (increased) |
| anterior pituitary gland - hormone and disorders | GH - dwarfism (decreased), acromegaly and giantism (increased) |
| thyroid - hormone and disorders | T3/T4 - hyperthyroidism (increased), hypothyroidism (decreased) |
| parathyroid - hormone and disorders | calcium - hyperparathyroidism (increased) and hypoparathyroidism (decreased) |
| ADH | regulates water levels |
| GH | stimulates growth |
| ACTH | Stimulates cortisol release |
| TSH | Stimulates T3/T4 release |