Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
visceral endocrine
visceral parathyroid and adrenal pathology
| Question | Answer |
|---|---|
| This is due to surgical removal of the parathyroids at the time of thyroidectomy | hypoparathyroidism |
| radioactive iodine therapy, familial, agenesis of parathyroid (diGeorge syndrome) | hypoparathyroidism |
| lab findings for hypoparathyroidism? | decreased PTH, decreased serum calcium, increased phosphatemia |
| patient presents with increased neuromuscular excitability, tingling in the hands and feet, perioral numbness, muscle cramps, tetany and laryngeal stridor | hypoparathyroidism |
| CNS symptoms of hypoparathyroidism | convulsions, paranoia and psychoses |
| Tests for hypoparathyroidism? | Trousseau's sign and Chvostek's sign |
| End-organ insensitivity to PTS | psuedohypoparathyroidism |
| lab tests for pseudohypoparathyroidism? | Normal PTH, decreased serum calcium, increased phosphatemia |
| cAMP in response to PTH is impaired in this disease | pseudohypoparathyroidism |
| Patient presents with short stature, obesity, mental retardation, subcutaneous calcification, short metacarpals and metatarsals | pseudohypoparathyroidism |
| Normal levels of PTH, decreasd serum calcium, increased phosphatemia, normal cAMP | pseudopseudohypoparathyroidism |
| The etiology for primary hyperparathyroidism is what? | parathyroidadenoma, MEN I |
| The etiology for secondary hyperparathyroidism is what? | chronic renal failure (retention of phosphorus drives the calcium down and the PTH up) |
| Lab tests for secondary hyperparathyroidism? | Increased PTH, hypophosphatemia, increased serum calcium |
| increased bone resorption, decreased renal clearance of calcium and increased intestinal absorption of calcium are all contributing factors for what? | increased serum calcium associated with secondary hyperparathyroidism |
| Bone, stone, abdominal groan, moan, and asystole are clinical findings for whatZ? | hyperparathyroidism |
| prolonged exposure to elevated levels of either endogenous glucocorticoids or exogenous glucocorticoids leads to what? | cushing's syndrome |
| cushing's syndrome is associated with an increase in what? | cortisol |
| The etiology for this disease includes adenoma, bilateral adrenal hyperplasia, secondary to oat cell carcinoma or exogenous steroid administration | cushing's syndrome |
| patient presents with moon face, facial plethora, thick web neck (buffalo hump), truncal obesity, thin extremities, muscle wasting, purple striae, hypertension | cushing's syndrome |
| in females with this disease, patients present with hirsutism, acne, infertility, and menstrual disturbances | cushing's syndrome |
| Conn's syndrome is aka what? | Primary Hyperaldosteronism |
| the etiology for what disease is a aldosterone secreting neoplasm? | conn's syndrome |
| patient presents with increased blood pressure, hypernatremia, hypokalemia, increased serum aldosterone, muscle cramps and weakness, and headache | conn's syndrome |
| what is an acute adrenal insufficiency referred to as? | addisonian crisis |
| abrupt withdrawal of steroids from patients with chronic steroid administration will develop what? | acute adrenal insufficiency; addisonian crisis |
| an etiology for what is acute hemorrhagic destruction of both adrenals by trauma? | adrenal insufficiency; addisonian crisis |
| patient presents with severe abdominal pain, nausea and vomiting, fever, hypotension, confusion and hypoglycemia | adrenal insufficiency |
| a chronic adrenal insufficiency is referred to as what? | addison's disease |
| what is the etiology for addison's disease? | autoimmune |
| decreased aldosterone and cortisol levels are indicative of what disease? | addison's disease; chronic adrenal insufficiency |
| patient presents with hypotension, hypoglycemia, skin pigmentation, hyperkalemia, cardiac arrhythmias | addison's disease |
| lab findings for addison's disease? | decreased aldosterone, decreased glucocorticoid, increased ACTH |
| a defect in one of the enzymes that are necessary for the synthesis of cortisol (21, 17 or 11 hydroxylase)will cause what? | Congenital adrenal hyperplasia |
| lab tests for congenital adrenal hyperplasia? | decreased cortisol, decreased OR increased aldosterone, increased ACTH |
| Female infants with ambiguous genitalia most likely have what disease? | congenital adrenal hyperplasia |
| female patients present with amenorrhea and virilization, males present with precocious puberty | congenital adrenal hyperplasia |
| what diseases are the result of a lost adrenal medulla? | none |
| a tumor of the adrenal medulla casues what? | pheochromocytoma: increased catecholamines |
| patient presents with increased heart rate, increased tachypnea, nervousness and anxiousness | tumor of the adrenal medulla |
| This is caused by hyperglycemia and inadequate action of insulin on body tissues | diabetes mellitus |
| decreased circulating levels of insulin or resistance of target tissues to the actions of insulin causes? | diabetes mellitus |
| random plasma glucose >200mg/dL,fasting plasma glucose >136 mg/dL | diabetes mellitus |
| what type of diabetes mellitus is autoimmune where AB attack beta cells resulting in a decrease or absence of insulin production? | DM Type I |
| what type of diabetes mellitus is genetic, with no antibody and simply the result of insulin resistance? | DM Type II |
| patient presents with increased urine (polyuria), increased thirst (polydypsia), weight loss, infection of the skin, vulva and urinary tract, and blurring of vision? | diabetes mellitus |
| what are some acute complications of diabetes mellitus? | ketoacidosis, hyperosmolar non-ketotic coma, hypoglycemic coma |
| what are some chronic complications of diabetes mellitus? | microvascular disorders in the eye, kidney failure, autonomic neuropathy |
| patient presents with gycosuria (loss of sugar in the urine), hyperglycemia, ketonemia, ketonuria, kussmaul's respiration, odor of acetone on the breath, and marked dehydration | ketoacidosis |
| This is commonly found in elderly patients, precipitated with infection, altered consciousness | hyperosmolar non-ketotic coma |
| Hypoglycemic coma is aka what? | insulin shock |
| decreased serum glucose due to either increased insulin dosage or delay in ingestion of a meal or increased physical activity or adrenergic stimulation | hypoglycemic coma |
Created by:
kissukels587
Popular Chiropractic sets