Endocrine

Question 1

Signs and Symptoms of Hyperthyroidism

Answer 1

weight loss, diarrhea, ↑HR, hot, heat intolerance, HTN, exopthalmos (bulging eyes- Don Knopps)

Question 2

Hyperthyroidism=

Answer 2

Hyper- metabolism (high metabolic rate)

Question 3

Hyperthyroidism is also known as______. So remember______ yourself into the ________

Answer 3

Grave’s Disease; Run; Grave

Question 4

The problem is hyperthyroidism. Treatment options:

Answer 4

Radioactive iodine, propylthyroid utisil, surgical removal

Question 5

What is the big risk with radioactive iodine?

Answer 5

radiation risk in urine- double flush, need private bathroom

Question 6

What does PTU do?

Answer 6

propylthyroid utinsil knocks out WBC

Question 7

What is the most common treatment for hyperthyroidism?

Answer 7

surgical removal

Question 8

Total thyroidectomy- need lifelong_______ replacement.
at risk for_______

Answer 8

hormone; hypocalcemia (difficult to spare parathyroid)

Question 9

What are you at risk for with a subtotal thyroidectomy?

Answer 9

thyroid storm

Question 10

What are signs and symptoms of thyroid storm?

Answer 10

extremely high vital signs, extremely high fever, psychotically
delirious. This is a medical emergency

Question 11

What is the treatment for thyroid storm?

Answer 11

oxygen and lower body temperature

Question 12

Total= T___
Subtotal= S_____

Answer 12

Tetany
Storm

Question 13

Post operation risks for total and subtotal thyroidectomy in first 12 hrs

Answer 13

airway/breathing, bleeding

Question 14

Post operation risks for total thyroidectomy in 12-48 hrs

Answer 14

tetany (r/t low Ca)

Question 15

Post operation risks for sub-total thyroidectomy in 12-48 hrs

Answer 15

thyroid storm

Question 16

Hypothyroidism = hypo-.______

Answer 16

metabolism

Question 17

signs and symptoms of hypothyroidism

Answer 17

weight gain, htn, constipation, lethargy, cold intolerance, “slow”

Question 18

Hypothyroidism is also known as_______

Answer 18

myxedema

Question 19

Treatment for hypothyroidism

Answer 19

thyroid replacement (s/e: hyperthyroidism)

Question 20

Caution: with hypothyroidism treatment DO NOT______

Answer 20

sedate (they are already sedated)

Question 21

Surgical implications for the hypothyroid patient

Answer 21

Anesthesia is very high risk and do not hold thyroid pills when NPO

Question 22

Adrenal Cortex Diseases start with letters___ or___

Answer 22

A, C

Question 23

Addison’s Disease is ________ of the adrenal cortex

Answer 23

undersecretion

Question 24

Signs and Symptoms of Addison’s Disease

Answer 24

hyperpigmented (darker), doesn’t respond to stress well (JFK)

Question 25

Treatment for Addison's Disease

Answer 25

steroids (need to wear a med alert bracelet)

Question 26

Addison's=

Answer 26

add-a-sone

Question 27

Cushing's Syndrome is _______ of the adrenal cortex

Answer 27

oversecretion (cushy= more)

Question 28

Signs and Symptoms of Cushing's Syndrome (same as steroids)

Answer 28

moon face, hirsutism (↑ body hair), water retention, gynecomastia (man boobs), buffalo hump, central obesity (small skinny limbs), bone density, easy bruising, irritability, immunosuppression

Question 29

Treatment for Cushing's Syndrome

Answer 29

adrenalectomy→ replacement therapy→ steroids)