endo

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Author:
cassiekay10
ID:
226150
Filename:
endo
Updated:
2013-07-06 23:15:25
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tests
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h test
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  1. pancreas
    maintains blood glucose levels
  2. insulin
    • stimulates cells to take up glucose
    • liver to take up glucose and store it as glycogen
    • decreases glucose levels in blood stream
  3. glucagon
    liver breaks down stored glycogen into glucose and then released into bld stream increasing bld glucose levels
  4. gonads
    primary sex organs
  5. estrogen
    secreted by ovaries to promote development of female characteristics and contributes to development of reproductive system
  6. progesterone
    along w estrogen helps maintain uterine lining during pregnancy
  7. testosterone
    triggers development of male sexual characteristics and also sustains sperm production
  8. patient assessment
    CPPRFPG
    Can pregnant Peggy really fly pigs good?
    • complete health history
    • present illness/chief complaint: intake, elimination, energy level, bd perception, reproductive and sexual function
    • past medical hx
    • review of systems
    • functional assessment: disruption of lifestyle due to symptoms? change in ht/wt? diet?
    • physical assessment: general observations, mental status, skin appearance, ht/wt, vitals
    • gerontologic assessment: normal for age?
  9. pit gland
    xray ct mri
    can detect tumor
  10. pit gland
    cerebral angiography
    may reveal aneurysms, or arteriovenous malformations bc vascular anomalies can interfere w supply of bld in brain and lead to pit damage
  11. pit gland
    glucose tolerance test
    • check for gh suppression
    • retionale: glucose will suppress gh levels through a neg fdback system. normal= gh falls less than 5mg/Ml (from original measures). hyperpituitarism= large decreases in gh occur (positive result)
  12. adrenal gland tests for
    serum/urine cortisol
  13. serum/urine cortisol decreased
    addison disease
  14. decreased fasting glucose
    addison dis
  15. hyponatremia
    add dis
  16. hyperkalemia
    add dis
  17. increased bun
    add dis
  18. 24 hr urine test
    reflects steroid secretion
  19. plasma acth
    • acth decreased: pit gland at fault (not producing adequately)
    • acth increased: adrenal gland at fault ( unable to respond)
  20. adrenal ekg
    reflect electrolyte imbalance
  21. adrenal pqrst wave
    peaked t wave, wide qrs, increased pr interval
  22. adrenal radiographic
    skull films, ct scans, mri to r/o causitive factors,
  23. adrenal abd imaging
    may detect atrophy of adrenal glands
  24. thyroid lab bld tests
    • empolying radioactive iodine
    • serum t3, free t4, t4, and tsh
  25. thyroid scan
    • ingest rai, scan area of thyroid gland to measure how much is taken up by thyroid.
    • high uptake: hyperthyroidism
    • low uptake: hypothyroidism
  26. increased t3
    graves dis, toxic adenoma, toxic nodular goiter
  27. increased t4
    hyperthyroidism and excess thyroid replacement hormone
  28. decreased t3 and t4
    hypothyroidism
  29. increased tsh
    hypothyroidism
  30. decreased tsh
    hyperthyroidism
  31. parathyroid gland blood tests
    ca, phosphate, creatinine, uric acid, magnesium, alkaline phosphatase, pth
  32. parathyroid gland
    24 hr urine
    determine how much ca is excreted
  33. parathyroid radiographic
    demineralization of bones, bone cysts, tumors
  34. parathyroid ekg
    ca imbalance can cause alterations in electrical activity of heart
  35. what does a high tsh and low t4 indicate?
  36.  

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