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Pheochromocytoma,”Located in adrenal medulla (10% along symp. chain)Present: BP that is high with *episodes( of severe HTNLab: High glucose, high lipid
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review. Pheochromocytoma,”Located in adrenal medulla[…]
Read moreHow do you diagnose cushings,”Low dexamethasome suppression-Normal finding is cortisol suppression24 hour urinary free cortisol level-Abnormal finding is elevated cortisolMeasure ACTH-If low –> Adrenal tumor or hyperplasia -If high –> High dose dexa or CRH stimulation testHig-dose dexa suppression-Suppression indicates pituitary pathology-No suppression indicates ectopic ACTH secretionCRH stimulation test-If ACTH increases, its pituitary-If ACTH DN increase
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.How do you diagnose cushings,”Low[…]
Read moreCushing syndrome and its presentation,”Cushing syndrome: Independent of ACTH (i.e. primary)Present: Osteoporosis, muscle weakness (cortisol increases protein breakdown)
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Read morePrimary hyperparathyroidism,”MCC is adenomaPresent: Stones, bones (osteitis fibrosa, cystica), groans (weakness, constipation), and psychiatric overtonesDx: High PTH, low PO4, high Ca
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Primary hyperparathyroidism,”MCC is adenomaPresent: Stones,[…]
Read moreHypoparathyroidism,”Long QT interval on ECGLow PTH, low Ca, high PO4, low urine cAMP*Pseudohypoparathyroidism will have high PTH but will otherwise have similar lab valuesTreat: Vitamin D
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Hypoparathyroidism,”Long QT interval on ECGLow[…]
Read moreSIADH,”ADH –> Volume expansion (which increases ANP), hyponatremiaANP causes natriuesis, and thus prevents edemaTreat: Li
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Read more“What is the differential for polydipsia, polyuriea”
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.“What is the differential for[…]
Read moreCentral vs nephrogenic DI,”Central-Idiopathic or pituitary tumor-Urine specific gravity < 1.006-Serum osmolarity > 280-Treat: Desmopressin (DDAVP)Nephrogenic-Li or demeclocycline (both inhibit ADH)-Urine specific gravity < 1.006-Serum osmolarity > 280-Treat: HCTZ
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Read moreAcromegaly,”MCC death is HCMHigh GH causes insulin resistance –> DMDx: -IGF-1 (somatomedin c is elevated)-Oral glucose suppression test (glucose fails to reduce GH)Treat: Octreotide
Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Acromegaly,”MCC death is HCMHigh GH[…]
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