Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
surgicial internvetion charcteristics for incidental mass?
|
>4cm, functional, enlarging, non-homogenous
|
|
|
MC primary site for adrenal mets?
|
breast ca
|
|
|
aldosterone function?
|
sodium resorption, K, H, and ammonia excretion
|
|
|
precocious puberty in males, virilization in female, with salt wasting?
|
21hydroxylase def. symp
|
|
|
precocious puberty in males, virilization in female, with salt retaining?
|
11hydroxylase def. symp
|
|
|
ambiguious genitalia and salt saving?
|
17hydroxylase def.
|
|
|
dx of conn's?
|
urine aldosterone test (high after salt load test)
|
|
|
aldosterone:renin ratio greater than? indicates conn's
|
aldos:renin ratio >400
|
|
|
diff dx of captopril test results of no change vs. decrease in aldosterone level?
|
no change-tumor
dec-adrenal hyperplasia |
|
|
what level is high in high aldosterone tumor vs. hyperplasia?
|
18-OH corticosterone
|
|
|
which cause of conn's more sensitive to ACTH; angiotensin II?
|
adenoma more sensitive to ACTH compared to hyperplasia being sensitive to angiotensin II
|
|
|
#1 primary disease of adrenal insufficiency?
|
autoimmune
|
|
|
most common cause of cushing's syndrome?
|
iatrogenic
|
|
|
common causes of noniatrogenic hypercortisolism?
|
pituitary adenoma, ectopic ACTH, adrenal adenoma
|
|
|
medical tx for ectopic ACTH or residual after resection?
|
ketoconazole and metyrapone, aminoglutethimide, Op-DDD(mitotane)
|
|
|
rate limiting step of catecholamine production?
|
tyrosine hydroxylase
|
|
|
enzyme that converts norepi to epi?
|
PNMT, only found in medulla
|
|
|
10% rule for pheo?
|
10% familial, bilateral, malignant, extra-adrenal, and children
|
|
|
tech used to id location of pheo?
|
MIBG scan used
|
|
|
what procedure should never be performed on pheo?
|
venography can cause hypertensive crisis in this
|
