Endocrine ch.45 15e T1
Diagnostic Tests
Pituitary Test
- Growth hormone (GH). Human Growth Hormone (hGH)
- Magnetic Resonance Imaging (MRI)
- Somatomedin C (Insulin-Like Growth Factor or IGF-1)
- Water Deprivation Test
Thyroid Tests
- MRI
- Radioactive Iodine Uptake (RIA)
- Thyroid Antibodies
- “ Scan
- “ Stimulating Hormone (TSH)
- “ Suppression test
- “ Thyrotropin-releasing hormone (TRH) Stimulation Test
- Thyroxine (T4)
- Triiodothyronine (T3)
- Triiodothyronine Resin Uptake (T3RU)
Parathyroid Test
- Calcium (Ca)
- MRI
- Parathyroid Hormone (PTH)
Adrenal Tests
- ACTH stimulation
- ACTH suppression
- Aldosterone
- Adrenocorticotropic Hormone (ACTH)
- Computerized Tomography (CT) of the abdomen
- Cortisol
- Late Night Cortisol Test
- 17 – Ketosteroids
- MRI adrenal glands
- MIBG scan
Pancreatic Endocrine Test
- CT
- Fasting Blood Sugar (FBS)
- Oral Glucose Tolerance Test (OGTT
- Glycosylated Hemoglobin (Hb A1C)
- C - peptide
- MRI pancreas
, Endocrine ch.45 15e T1
Genetic Influences
- Family history diseases(includes members age of onset and gender)
- Women (problems w/ pregnancy, menstruation and/or menopause)
Health and physical assessment
- Analyze onset, characteristics, course, severity, precipitating and relieving factors, and
associated sym, of endocrine function.
- Changes in normal growth and development, Injury or surgery of the head, previous
hospitalizations, chemotherapy, radiation, use of medications, occupational, and social history,
means of coping, diet, exercise patterns, sleep patterns, what makes it worse (triggers)
Physical Assessment
- Palpate thyroid gland (from behind the pt)
- Inspect skin, hair, nails, facial appearance, reflexes, musculoskeletal sym.
- Motor function assessment, sensory function assessment
- Measure and monitor trends in ht, wt, vital signs
- Assess hypocalcemia – tetany
Pt. with Disorders of the Posterior Pituitary Gland (aka “hypophysis”)
Oxytocin
Antidiuretic Hormone (ADH also called vasopressin)
- ADH regulates water excretion by kidneys
Adrenal cortex (all start with the letter C and A)
Cushing, Coon, Addison
Addison’s disease (rarerest of hormone disease)
Sx/s
Hyperpigment (very tan)
do not adapt to stress the adrenal gland (raises blood pressure and glucose) is under-secreting,
if they get stressed bp and glucose will go down and pt will go into shock. Doesn’t take much to
put the pt under stress.
Stress is the most factor with Addison disease
Treament
Give steroid (ex. Prednisone)
With addisons you add -sones (low in hormone)
Cushing’s syndrome (Over-secretion of the adrenal cortex)
Diagnostic Tests
Pituitary Test
- Growth hormone (GH). Human Growth Hormone (hGH)
- Magnetic Resonance Imaging (MRI)
- Somatomedin C (Insulin-Like Growth Factor or IGF-1)
- Water Deprivation Test
Thyroid Tests
- MRI
- Radioactive Iodine Uptake (RIA)
- Thyroid Antibodies
- “ Scan
- “ Stimulating Hormone (TSH)
- “ Suppression test
- “ Thyrotropin-releasing hormone (TRH) Stimulation Test
- Thyroxine (T4)
- Triiodothyronine (T3)
- Triiodothyronine Resin Uptake (T3RU)
Parathyroid Test
- Calcium (Ca)
- MRI
- Parathyroid Hormone (PTH)
Adrenal Tests
- ACTH stimulation
- ACTH suppression
- Aldosterone
- Adrenocorticotropic Hormone (ACTH)
- Computerized Tomography (CT) of the abdomen
- Cortisol
- Late Night Cortisol Test
- 17 – Ketosteroids
- MRI adrenal glands
- MIBG scan
Pancreatic Endocrine Test
- CT
- Fasting Blood Sugar (FBS)
- Oral Glucose Tolerance Test (OGTT
- Glycosylated Hemoglobin (Hb A1C)
- C - peptide
- MRI pancreas
, Endocrine ch.45 15e T1
Genetic Influences
- Family history diseases(includes members age of onset and gender)
- Women (problems w/ pregnancy, menstruation and/or menopause)
Health and physical assessment
- Analyze onset, characteristics, course, severity, precipitating and relieving factors, and
associated sym, of endocrine function.
- Changes in normal growth and development, Injury or surgery of the head, previous
hospitalizations, chemotherapy, radiation, use of medications, occupational, and social history,
means of coping, diet, exercise patterns, sleep patterns, what makes it worse (triggers)
Physical Assessment
- Palpate thyroid gland (from behind the pt)
- Inspect skin, hair, nails, facial appearance, reflexes, musculoskeletal sym.
- Motor function assessment, sensory function assessment
- Measure and monitor trends in ht, wt, vital signs
- Assess hypocalcemia – tetany
Pt. with Disorders of the Posterior Pituitary Gland (aka “hypophysis”)
Oxytocin
Antidiuretic Hormone (ADH also called vasopressin)
- ADH regulates water excretion by kidneys
Adrenal cortex (all start with the letter C and A)
Cushing, Coon, Addison
Addison’s disease (rarerest of hormone disease)
Sx/s
Hyperpigment (very tan)
do not adapt to stress the adrenal gland (raises blood pressure and glucose) is under-secreting,
if they get stressed bp and glucose will go down and pt will go into shock. Doesn’t take much to
put the pt under stress.
Stress is the most factor with Addison disease
Treament
Give steroid (ex. Prednisone)
With addisons you add -sones (low in hormone)
Cushing’s syndrome (Over-secretion of the adrenal cortex)
