Endocrine

Question 1

Myxedema Coma

Answer 1

Severe untreated hypothyroidism as a result of hashimoto’s disease.
Can be triggered by meds like amiodarone, lithium, hypothermia, beta blockers, anesthetics, and anticonvulsants.

Can present as both comatose or in myxedema madness

Question 2

Diabetes Insipidus

Answer 2

Not enough ADH

Question 3

SIADH

Answer 3

Too much ADH(inappropriate)
Dilutional hyponatremia
Cerebral edema
SZ
High gravity

Question 4

Graves Disease

Answer 4

too much t3/4

Question 5

Presentation of Hepatic Encephalopathy

Answer 5

Elevated AST/ALT
Elevated BUN
Stuperous, obtunded then coma

Question 6

Lactulose

Answer 6

Impedes the production of ammonia in protein metabolism

Question 7

Spleen

Answer 7

Most common affected in blunt trauma

Question 8

Splenic Disease/Rupture

Answer 8

Left Shoulder Pain(Kehr’s Sign)
POCUS FAST
SHOCK

Question 9

Brudzinski’s Sign

Answer 9

Neck
Meningitis

Question 10

Kernig’s Sign

Answer 10

Hamstring
Meningitis

Question 11

Cullen’s Sign

Answer 11

Pancreatitis

Question 12

Grey-Turner’s Sign

Answer 12

Pancreatitis

Question 13

Kehr’s Sign

Answer 13

Spleen

Question 14

Murphy’s Sign

Answer 14

Gallbladder Plapate RUQ and breath in

Question 15

Levine’s Sign

Answer 15

Cardiac
Clenched fist over chest

Question 16

Dilutional Hyponatremia

Answer 16

Think SIADH, Why?
Cause too much juice for the powder