Question

Match the clinical manifestation to the disorders: SIADH, Hypothyroidism, Pheochromocytoma, Adrenal adenoma causing hypersecretion of androgens in a woman, DKA, Hypoglycemia, Primary Adosteronism, Type 1 DM, DI, Addision disease

______Hypertension, tachycardia, palpitations, severe headache, diaphoresis, heat intolerance, weight loss, constipation

______Polydipsia, nocturia, polyuria, hypernatremia, increased plasma osmolality, large volume of dilute urine

______Polydipsia, nocutria polyuria, increased appetite, weight loss, hyperglycemia, glycosuria

______Weakness, fatigue, hypotension, hyperkalemia, hypoglycemia, elevated ACTH

______Lethargy, cold intolerance, hoarseness, nonpitting boggy edema around the eyes, coarse hair, decreased body temperature

______Tachycardia, diaphoresis, tremor, pallor, confusion, decreased LOC, perhaps seizure

_____Virilization: lack of breast development, hirsutism, increased muscle bulk

_____Polyuria, decreased LOC, Kussmaul breathing, acetone smell to breath, hyperglycemia, decreased blood pH, ketonuria, glycosuria

_____Hypertension, hypokalemia, increased blood pH, increased urine potassium

Answer 1

1. SIADH :- Lethargy, hyponatremia, perhaps seizure, decreased plasma osmolality, concentrated urine

2. HYPOTHYROIDISM:- Lethargy, cold intolerance, hoarseness, nonpitting boggy edema around eyes, coarse hair, decreased body temperature

3. PHEOCHROMOCYTOMA:- Hypertension, tachycardia, palpitations, severe headache, diaphoresis, heat intolerance, weight loss, constipation

4. ADRENAL ADENOMA CAUSING HYPERSECRETION OF ANDROGENS IN WOMEN:- Virilization: lack of breast development, hirsutism, increased muscle bulk

5. DIABETIC KETOACIDOSIS (DKA) :-Polyuria, decreased LOC, Kussmaul breathing, acetone smell to breath, hyperglycemia, decreased blood pH, ketonuria, glycosuria

6. HYPOGLYCEMIA:-Tachycardia, diaphoresis, tremor, pallor, confusion, decreased LOC, perhaps seizure

7. PRIMARY ADOSTERONISM:- Hypertension, hypokalemia, increased blood pH, increased urine potassium

8. TYPE 1 DM :- Polydipsia, nocutria polyuria, increased appetite, weight loss, hyperglycemia, glycosuria

9. DIABETES INSIPIDUS (DI):- Polydipsia, nocturia, polyuria, hypernatremia, increased plasma osmolality, large volume of dilute urine.

10. ADDISON DISEASE:- Weakness, fatigue, hypotension, hyperkalemia, hypoglycemia, elevated ACTH.