Difference between revisions of "Endocrinology"
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*Hashimoto thyroiditis can be associated with other autoimmune conditions such as atrophic gastritis (pernicious anemia). | *Hashimoto thyroiditis can be associated with other autoimmune conditions such as atrophic gastritis (pernicious anemia). | ||
*During vitamin B12 repletion, you should monitor '''serum potassium, which can drop as new RBCs are formed.''' | *During vitamin B12 repletion, you should monitor '''serum potassium, which can drop as new RBCs are formed.''' | ||
| − | *Young, normal weight patient presents with symptomatic DKA? '''T1DM''' | + | *Young, normal weight patient, without family history of diabetes presents with symptomatic DKA? '''T1DM''' |
| + | *Total T3 and T4 in pregnancy can be 1.5x normal range and still be physiologic. TSH is suppressed. '''There is no role for measuring free T4 in pregnancy''' | ||
=Hypercalcemia= | =Hypercalcemia= | ||
Revision as of 00:58, 14 January 2023
Missed Concepts
- Workup of thyroid nodule almost always ends with FNA, the one exception is a patient without suspicious US findings or cancer risk factors, a low TSH, and a hot nodule on 123-Iodine scan (toxic adenoma). For these patients go straight to treatment (Methimazole pretreatment to achieve euthyroid > RF ablation vs. surgery)
- Hashimoto thyroiditis can be associated with other autoimmune conditions such as atrophic gastritis (pernicious anemia).
- During vitamin B12 repletion, you should monitor serum potassium, which can drop as new RBCs are formed.
- Young, normal weight patient, without family history of diabetes presents with symptomatic DKA? T1DM
- Total T3 and T4 in pregnancy can be 1.5x normal range and still be physiologic. TSH is suppressed. There is no role for measuring free T4 in pregnancy
Hypercalcemia
- H&P:
- Dx: Best initial test is PTH
- Tx: