-
rx for gastraparesis
erythromycin and metaclopramide
-
All forms of hyperthyroidism give elevated what
t4
-
rx for graves
- acutely methimazole and PTU
- then radioactive iodine
-
only cause of hyperthyroidism with elevated ash
pituitary adenoma
-
4 medications for thyroid storm
- iodine
- PTU
- prednisone
- proprano
-
what does dexamethasone do in thyroid storm
block t4 to t3 conversion
-
Jose basedow phenomenon
thyrotoxicosis in a iodine deficiency when it was made replete
-
MEN 1 a
- Parathyroid
- pituitary
- pancreatic
-
-
men 2 b
- medullary thyroid
- marfanoid
- phew
-
metastasis of follicular vs medullary thyroid cancer
- follicular-lymph
- medullary- hematogenous
-
orphan annie nuclei
follicular
-
how does high calcium cause volume depletion
blocks adh causes nephrogenic di
-
electrolyte abnormalities of long qt
-
albrights hereditary osteodystrophy
- low ca
- round facies
- mental retardation
- short 4th digit
-
3 cases for cushing syndrome
- pituitary adenoma
- ectopic acth production
- adrenal adenoma
-
how to diagnose cushing syndrome
24 hour urine cortisol level after 1 gram dexamethasone level
-
how to find etiology of cushing syndrome
- if acth is low, then adrenal adenoma
- if acth is high--do acth suppression- if suppressed --pituitary
- if not suppressed- adrenal
-
diagnostic test for addison disease
co-syntropin test
-
rx for adrenal insufficiency
hydrocortisone
-
dx of conns syndrome
- low renin
- HTN, metabolic alkalosis hypokalemia
- high aldosterone despite salt loading
-
rx for conns syndrome
- solitary adenoma-resection
- hyperplasia- spironolactone
-
rx for pheo no metastasis
rx for metastatic pheo
alpha blockage then beta surgery
medical treatment
-
most accurate diagnostic test for prolactinoma
mRI of brain
-
rx for prolactinoma
- dopamine agonists
- if refractory, give surgery
-
why is DM common in acromegaly
bc growth hormone acts as anti-insulin
-
best initiall test for acromegaly
IGF
-
rx for growth hormone releasing tumor
- resection
- octerotide
- dopamine agonists
- pegvisomant
-
2 causes of primary amenorrhea
- turners
- testicular feminization
-
causes of secondary ammenorhea
- prolactin
- exercise
- pcos
- pregnancy
- hypothyroidism
-
LH, FSH, testosterone in klinefelters
- high LH, FSH
- low testosterone
-
kallman's syndrome
- hypothalamus
- low gnrh, low lh, low fsh
- anosmia
-
subclinical hyperthyrodism
low tsh and normal T3 and T4
-
subclinical hypothyroidism
high tsh and normal T3 and T4
-
rx for pagets disease
bisphosphonate
|
|
