Endocrine Word Associations PANCE/PANRE

Diabetic w/ anorexia, anemia, wt loss, pallor

Chronic renal failure

Gastroparesis, impotence, recurrent infections, stocking-glove paresthesia

Diabetic neuropathy (Treat w/ TCA (amitriptyline)

Hypoglycemia despite glucose administration. Increased C-peptide

Insulinoma

Hypoglycemia in alcoholic

Give Thiamine before glucose to prevent Wernicke's encephalopathy

Decreased radioactive iodine uptake, decreased free T4, increased TSH

Hashimoto's thyroiditis

Female, weight loss, palpitations, atrial fibrillation

Hyperthyroid (work it up with TSH, T4)

Exopthalmos, palpitations, wt. loss. Elevated radioactive idodine uptake

Hyperthyroid, Graves Dx - Tx w/ Radioactive iodine

Post thyroidectomy - most likely injury

Recurrent laryngeal nerve = hoarseness

Post thyroidectomy - electrolyte watch

Hypocalcemia

Infant w/ round face, large protruding tongue, dry skin, umbilical hernia, constipation, enlarged abdomen, poor feeding, delayed developmental milestones

Congenital Hypothyroidism

"Recurrent HA, HTN not responding to meds, sweating

Attacks of severe HA, HTN, glycosuria

Urinary catecholamines, urinary metanephrines

Pheochromocytoma - Tx pre-op w/ alpha blocker

HTN not responsive to meds

Renal artery stenosis (Infrarenal artery)

HTN w/ hypernatremia, hypokalemia

Primary Aldosteronism

Wt. gain, edema, coarse dry skin, hair, menorrhagia, cold intolerance, hx transphenoidal surgery & radiation

Hypothyroidism

Tetany, hypocalcemia, cataracts

Hypoparathyroidism

Exogenous corticosteroid use

Cushing syndrome

Dexamethasone suppression test

Cushing syndrome

Central obesity, abdominal stria, hyperglycemia, moon facies, buffalo hump, easy bruising

Cushing syndrome

Acute steroid withdrawal

Addison's disease, crisis

Hyperpigmentation, hypoglycemia, orthostatic hypotension, hypotension not responsive to fluids, hypotension following an illness, trauma, or surgery

Addison's disease, crisis (Low aldosterone; get Random or AM cortisol, ACTH stimulation test)

Worsening fatigue, wt loss, weakness, recurrent abdominal pain, hair loss, hyperpigmentation. Hyponatremia, hyperkalemia

Addison's disease, crisis (Low aldosterone; get Random or AM cortisol, ACTH stimulation test)

Hyponatremia, hyperkalemia

Acute adrenal insufficiency (Addison's crisis)

Polyuria, polydipsia. Dilute urine, Hypernatremia

Diabetes insipidus

Concentrated urine. Hyponatremia

SIADH

45,X - low hairline, low set ears, webbed neck, short stature; shield chest, wide set nipples, infertility, lack of Secondary sex characteristics

Turners (gonadal dysgenesis

XXY ♂ - short stature, ↓ intelligence; small firm testes, gynecomastia, abn arm-body length

Klinefelters (hypogonadism)