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trueger
endo path 2
48
Other
Not Applicable
05/19/2006

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Cards

Term
prim hyperPTH
Definition
us adenoma
hyperCa, up U Ca -> renal stones
hypophos
up pth, up cAMP in ur
asx or wkness & const

stones bones & groans

Term
us adenoma
hyperCa, up U Ca -> renal stones
hypophos
up pth, up cAMP in ur
asx or wkness & const

stones bones & groans

Definition
prim hyperPTH
Term
2nd hyper pth
Definition
due to dn Ca, us in chr renal dz
dn Ca, up phos, up PTH
Term
due to dn Ca, us in chr renal dz
dn Ca, up phos, up PTH
Definition
2nd hyper pth
Term
osteitis fibrosa cystica
Definition
von Reclinghausen's syndrome
cystin bone spaces filled w. brown fibr tissue
bone pain
Term
renal osteodystrophy
Definition
renal dz-> hyperPTH-> bone lesions
Term
von Reclinghausen's syndrome
cystin bone spaces filled w. brown fibr tissue
bone pain
Definition
osteitis fibrosa cystica
Term
renal dz-> hyperPTH-> bone lesions
Definition
renal osteodystrophy
Term
hypoPTH
Definition
dn Ca -> tetany
us iatr(thyr surg) or DiGeorge
chvostek & trousseaus signs
Term
chvosteks sign
Definition
tap cnvii-> contr facial mm
Term
trousseaus sign
Definition
occl of brachial a w. BP cuff -> carpal spasm
Term
dn Ca -> tetany
us iatr(thyr surg) or DiGeorge
chvostek & trousseaus signs
Definition
hypoPTH
Term
tap cnvii-> contr facial mm
Definition
chvosteks sign
Term
occl of brachial a w. BP cuff -> carpal spasm
Definition
trousseaus sign
Term
pseudohypoPTH
Definition
AR kidney unrespo to PTH -> hypoCa, shortened 4th&5th digits, short stature
Term
AR kidney unrespo to PTH -> hypoCa, shortened 4th&5th digits, short stature
Definition
pseudohypoPTH
Term
hyperCa
Definition
too much Ca ing, HyperPTH, Hyperthyr, Iatr (thiazides), MM, Pagets dz, Addisons dz, Neoplasms, ZE, Excess vit D, Excess vit A, Sarcoidosis

CHHIMPANZEES

Term
DM ac ssx
Definition
polydipsia, polyuria, wt loss, DKA (type 1), hyperosm coma (type 2), unopposed GH & epi -> worse hypergly
Term
DM chr stuff
Definition
nonenz glycos-> small vessel dz -> retinopathy, glaucoma, nephropathy
lg vessel athero, CAD, PVocclDz & gangr, cerebrovasc dz

osm dmg: neuropath, cataracts (sorbitol)

Term
DM nephropathy
Definition
nod sclerosis, progr proteinuria, chr RF, arteriosclerosis-> HTN
Term
type 1 HLA
Definition
DR3, 4
Term
1 vs 2: polyuria, polydipsia, wt loss
Definition
1>2
Term
DKA
Definition
up stress-> up insulin reqs w.o. insulin (e.g. infn)
excess fat breakdown & ketogenesis
Term
DKA ssx
Definition
kussmaul resps (rapid/deep breathing), hyperthermia, N+V, abd pain, psych/dementia, dehydr, fruity breath
Term
DKA labs
Definition
hypergly, dn pH, dn bicarb (anion gap acidosis), up ketones, leukocytosis, hyperK w. depl'd IC K
Term
DKA complns
Definition
life thr mucormycosis, rhizopus infn, cerebral edema, card arrhythm, HF
Term
mucormycosis
Definition
fungal infection of the sinuses, brain, or lungs
Term
fungal infection of the sinuses, brain, or lungs
Definition
mucormycosis
Term
DKA tx
Definition
fluids, insulin, K, glu if necc to prevent hypogly
Term
DI
Definition
thirst + polyuria + no ability to conc urine
Term
DI etio
Definition
lack of ADH
central: pit tumor, trauma, surg, histiocytosis X
lack of renal response to ADH
->hered or 2nd to hyperCa, lith or demeclocycline
Term
DI ssx
Definition
Ur spec grav 1.006
serum osm >290
Term
DI tx
Definition
adequate fluid intake
central: intranasal desmopressin
nephr: HCTZ, indomethacin, amiloride
Term
thirst + polyuria + no ability to conc urine
Definition
DI
Term
lack of ADH
central: pit tumor, trauma, surg, histiocytosis X
lack of renal response to ADH
->hered or 2nd to hyperCa, lith or demeclocycline
Definition
DI etio
Term
Ur spec grav 1.006
serum osm >290
Definition
DI ssx
Term
adequate fluid intake
central: intranasal desmopressin
nephr: HCTZ, indomethacin, amiloride
Definition
DI tx
Term
SIADH
Definition
exc water retn, hypoNa, Uosm >Serum Osm
Term
SIADH complns
Definition
v low Na -> szs
Term
SIADH tx
Definition
demeclocycline or water restrn
Term
SIADH etios
Definition
ectopic ADH, CNS ds/TBI, pulm dz, Drugs (cyclophosphamide)
Term
exc water retn, hypoNa, Uosm >Serum Osm
Definition
SIADH
Term
v low Na -> szs
Definition
SIADH complns
Term
demeclocycline or water restrn
Definition
SIADH tx
Term
ectopic ADH, CNS ds/TBI, pulm dz, Drugs (cyclophosphamide)
Definition
SIADH etios
Term
carcinoid syndrome
Definition
rare, caused by NE tumors cells -> carcinoid tumor
esp met sm bowel tumor -> 5HT secrn
not seen if stays in GI due to first pass
D, cut flushing, asthm wheezing, rtsided valve dz
most common appendix tumor
up5-HIAA in urine
Term
carcinoid rules
Definition
1/3 met, 1/3 present w. 2nd malign, 1/3 mult
Term
carcinoid tx
Definition
octreotide
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