FCCN II- endocrine concepts – latest update

FCCN II: endocrine concepts – latest |\ |\ |\ |\ |\ |\




update

SIADH: what - CORRECT ANSWERS ✔✔-hypersecretion ADH
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-*DILUTIONAL HYPONATREMIA* |\




-water retention |\




urine = concentrated
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-fluid is IN CELLS ==> NO edema, ascites, HF
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-r/o cerebral edema d/t low Na in IV space
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SIADH: causes - CORRECT ANSWERS ✔✔-head trauma
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-cancer: lung, brain |\ |\




-general anesthesia |\




-CHF
-drugs: TCAs, ecstacy, oral hypoglycemics, diuretcs, cytotoxic Rx
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*ANYTHING HARMING PITUITARY GLAND* |\ |\ |\




SIADH: s/sx - CORRECT ANSWERS ✔✔GENERAL
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-low UOP|\




-dilutional hypo Na |\ |\




-*seizures*

, NEURO
-altered MS/LOC |\




-lethargy
-HA, muscle cramps
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-*hyperreflexia*


CV
-increased BP: high CVP, PAP, wedge, ICP
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-JVD
-weight gain d/t low UOP (fluid retention)
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PULMONARY
-*tachypnea*


GI/GU
-N/V/D
-thirst, abdominal cramps
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SIADH: labs - CORRECT ANSWERS ✔✔-serum Na < 130
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-serum Osmo < 280 |\ |\ |\




-ADH > 5 |\ |\




URINE