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Edocrine Word Association board review

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Diabetic w/ anorexia, anemia, wt loss, pallor   CRF  
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Gastroparesis, impotence, recurrent infections, stocking-glove paresthesia   Diabetic neuropathy (Treat w/ TCA (amitriptyline)  
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Hypoglycemia despite glucose administration.  Increased C-peptide   Insulinoma  
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Hypoglycemia in alcoholic   Give Thiamine before glucose to prevent Wernicke’s encephalopathy  
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Decreased radioactive iodine uptake, decreased free T4, increased TSH   Hashimoto’s thyroiditis  
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Female, weight loss, palpitations, atrial fibrillation   Hyperthyroid (work it up with TSH, T4)  
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Exopthalmos, palpitations, wt. loss.  Elevated radioactive idodine uptake                      Hyperthyroid, Graves Dx – Tx w/ Radioactive iodine  
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Post thyroidectomy – most likely injury   Recurrent laryngeal nerve = hoarseness  
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Post thyroidectomy – electrolyte watch   Hypocalcemia  
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Infant w/ round face, large protruding tongue, dry skin, umbilical hernia, constipation, enlarged abdomen, poor feeding, delayed developmental milestones   Congenital Hypothyroidism  
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Recurrent HA, HTN not responding to meds, sweating   Pheochromocytoma – Tx pre-op w/ alpha blocker  
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Attacks of severe HA, HTN, glucosuria    
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Urinary catecholamines, urinary metanephrines         
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HTN not responsive to meds   Renal artery stenosis (Infrarenal artery)  
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HTN w/ hypernatremia, hypokalemia   Primary Aldosteronism  
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Wt. gain, edema, coarse dry skin, hair, menorrhagia, cold intolerance, hx transphenoidal surgery & radiation   Hypothyroidism  
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Tetany, hypocalcemia, cataracts   Hypoparathyroidism  
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Exogenous corticosteroid use   Cushing syndrome  
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Dexamethasone suppression test   Cushing syndrome  
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Central obesity, abdominal stria, hyperglycemia, moon facies, buffalo hump, easy bruising   Cushing syndrome  
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Acute steroid withdrawal   Addison’s disease, crisis  
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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)  
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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)  
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Hyponatremia, hyperkalemia   Acute adrenal insufficiency (Addison’s crisis)  
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Polyuria, polydipsia.  Dilute urine, Hypernatremia   Diabetes insipidus  
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Concentrated urine.  Hyponatremia   SIADH  
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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  
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XXY M - short stature, ↓ intelligence; small firm testes, gynecomastia, abn arm-body length   Klinefelters (hypogonadism)  
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