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Endocrine Word Assoc
Edocrine Word Association board review
| Question | Answer |
|---|---|
| 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) |