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Acromegaly - ANSWER-Tumor present after epiphyses are closed.
Fourth or fifth decade. Growth of short bones
ACTH Insufficiency - ANSWER-Addison's Disease
lack of hormone
Diminished vascular tone
Inadequate circulating volume
Early signs:
Weight loss, weakness, malaise, apathy, electrolyte imbalances
Darkened skin folds, blue oral mucus membranes
Treatment: hormone replacement
Acute hyperglycemia - ANSWER-3 P's
DKA
,Fluid imbalance problems
Skin infections
Blurred vision
Acute osteomyelitis treatment - ANSWER-4-6 weeks of parenteral
antibiotics for acute phase
Analgesics
Intracavity instillation of antibiotics
Antibiotic choice based on C&S
Debridement
Abscesses or extensive necrosis
Dead space filled with packing, bone grafts, muscle pedicles, or skin
grafts
Removal of infected hardware
Addisonian Crisis - ANSWER-acute adrenal insufficiency is a true
emergency. Could be severe in patients who take corticosteroids
routinely and then abruptly stop.
Treatment: Give Glucocorticoids IV
ADH disorders - ANSWER-Does not affect H2O or Na+ regulation
body water too thick= pituitary releases ADH
body water too thin= pituitary suppresses ADH
Adrenocortical Hormone Disorder- ACTH - ANSWER-The adrenal
cortex synthesizes three different classes of steroid hormones:
, Glucocorticoids (Cortisol)
Mineralocorticoids (Aldosterone)
Sex Steroids (Androgens)
Sugar, Salt, Sex
Bouchard nodes - ANSWER-Proximal interphalangeal joint bone spur
Cholinergic Crisis - ANSWER-Excessive medication
Fasciculations (especially around mouth)
Difficulty chewing, swallowing, speaking
Advancing muscle weakness
Increased secretions
Respiratory distress
Chondrosarcoma - ANSWER-Primary malignant cartilage forming
tumor
Diagnosed in 30-60 year old age group
Slow rate of development
Will eventually metastasize (usually to the lung)
Tend to develop in proximal ends of long bones
Formation of cartilage by tumor cells
Pain
Chronic osteomyelitis treatment - ANSWER-Hyperbaric oxygen
Placement of antibiotic beads