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How do you diagnose DM
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Read moreWhat are the two main causes of morning hyperglycemia,”Dawn phenomena-Increase in noctural GH results in morning hyperglycemiaSomogyi effect-Noctural hypoglyceima results in release of E and glucagon –> morning hyperglycemiaDx and treatment-Check glucose at 3AM. If glucose is high, it is dawn phenomenon. Just increase insulin. If glucose is low
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.What are the two main[…]
Read moreHow does obesity contribute to diabetes
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Read moreWhich DM has a strong genetic component
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Read moreCongenital adrenal hyperplasia,”Salt wasting = Emesis, dehydration
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Congenital adrenal hyperplasia,”Salt wasting =[…]
Read morePrimary vs secondary adrenal insufficiency,”Both-Low cortisol –> hTN, low Na, weight loss, hypoglycemiaPrimary (addison)-High ACTH-Skin pigmentation-Low aldosterone
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Read moreWhat is adrenal crisis,”hTN
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.What is adrenal crisis,”hTN ARFTreat[…]
Read moreWhat is an adrenal incidentaloma,”Nonf(x) adrenal tumor. Resect if >6cm*All patients should be worked up for pheo, cushings
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Read morePrimary vs secondary hyperaldosteronsim,”Primary: Direct release of aldosterone (Ald>>Ren)Secondary: Direct release of renin (Ald ~= Ren)HTN, Low K (causes polyuria, polydypsia, metabolic alkalosis. No peripheral edemaCause-Adrenal adenoma (Conn’s syndrome)-Adrenal hyperplasia (almost always bilateral)Dx-Ald:Renin > 30 in primary-Saline infusion (normally this reduces aldosterone)-Oral Na loading: Give salt for 3 days –> if urine aldosterone is still high, this confirms the diagnosis-Adrenal venous sampling: If aldosterone is elevated on both sides
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