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Endocrine Word Assoc

Edocrine Word Association board review

Diabetic w/ anorexia, anemia, wt loss, pallor CRF
Gastroparesis, impotence, recurrent infections, stocking-glove paresthesia Diabetic neuropathy (Treat w/ TCA (amitriptyline)
Hypoglycemia despite glucose administration.  Increased C-peptide Insulinoma
Hypoglycemia in alcoholic Give Thiamine before glucose to prevent Wernicke’s encephalopathy
Decreased radioactive iodine uptake, decreased free T4, increased TSH Hashimoto’s thyroiditis
Female, weight loss, palpitations, atrial fibrillation Hyperthyroid (work it up with TSH, T4)
Exopthalmos, palpitations, wt. loss.  Elevated radioactive idodine uptake                    Hyperthyroid, Graves Dx – Tx w/ Radioactive iodine
Post thyroidectomy – most likely injury Recurrent laryngeal nerve = hoarseness
Post thyroidectomy – electrolyte watch Hypocalcemia
Infant w/ round face, large protruding tongue, dry skin, umbilical hernia, constipation, enlarged abdomen, poor feeding, delayed developmental milestones Congenital Hypothyroidism
Recurrent HA, HTN not responding to meds, sweating Pheochromocytoma – Tx pre-op w/ alpha blocker
Attacks of severe HA, HTN, glucosuria
Urinary catecholamines, urinary metanephrines     
HTN not responsive to meds Renal artery stenosis (Infrarenal artery)
HTN w/ hypernatremia, hypokalemia Primary Aldosteronism
Wt. gain, edema, coarse dry skin, hair, menorrhagia, cold intolerance, hx transphenoidal surgery & radiation Hypothyroidism
Tetany, hypocalcemia, cataracts Hypoparathyroidism
Exogenous corticosteroid use Cushing syndrome
Dexamethasone suppression test Cushing syndrome
Central obesity, abdominal stria, hyperglycemia, moon facies, buffalo hump, easy bruising Cushing syndrome
Acute steroid withdrawal Addison’s disease, crisis
Hyperpigmentation, hypoglycemia, orthostatic hypotension, hypotension not responsive to fluids, hypotension following an illness, trauma, or surgery Addison’s disease, crisis (Low aldosterone; get Random or AM cortisol, ACTH stimulation test)
Worsening fatigue, wt loss, weakness, recurrent abdominal pain, hair loss, hyperpigmentation.  Hyponatremia, hyperkalemia Addison’s disease, crisis (Low aldosterone; get Random or AM cortisol, ACTH stimulation test)
Hyponatremia, hyperkalemia Acute adrenal insufficiency (Addison’s crisis)
Polyuria, polydipsia.  Dilute urine, Hypernatremia Diabetes insipidus
Concentrated urine.  Hyponatremia SIADH
45,X – low hairline, low set ears, webbed neck, short stature; shield chest, wide set nipples, infertility, lack of Secondary sex characteristics Turners (gonadal dysgenesis
XXY M - short stature, ↓ intelligence; small firm testes, gynecomastia, abn arm-body length Klinefelters (hypogonadism)
Created by: smaxsmith