Treatment of Cushing's with pituitary tumor? - correct answer transsphenoidal
hypophysectomy- check for clear fluid with halo/ glucose (CSF)
What is hypocortisolism? - correct answer Congenital adrenal hyperplasia
S/s of congenital adrenal hyperplasia? - correct answer ambiguous genitalia- females:
masculine features, men- feminine features. Easier to visually see in women
Tx of congenital adrenal hyperplasia - correct answer steroid use
Normal serum osmolality - correct answer 280-295
What is serum osmolality? - correct answer how concentrated blood is
With dehydration what will the concentration of serum osmolality be? - correct answer
increased concentration
Diabetes insipidus - correct answer decreased secretion of ADH from the pituitary
S/s of DI - correct answer polydipsia, polyuria, dehydration, increased Na- d/t
dehydration
What causes DI? - correct answer head trauma, brain surgery d/t brain tumor
Tx of DI - correct answer DDAVP (vasopressin), fluids, thiazide diuretics
Fluids for tx of HHS & DKA - correct answer 0.9% NS then 0.45% NS then when the
BS is 250 give D5W
S/s of adrenal hyperplasia - correct answer virilization, masculine feature in women-
masculine placement of pubic hair, beard, baldness, masculine build
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