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Medicine (MD/DO)
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USMLE Step 1
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Endocrinology
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Hypothalamic & Pituitary Disorders

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Endocrinology | Medicine (MD/DO) School Study Aid

Hypothalamic & Pituitary Disorders
10 Picmonics to Learn | 18 mins
Syndrome Of Inappropriate Antidiuretic Hormone (SIADH)
Pathophysiology
Hypersecretion of ADH
Increased Sensitivity to ADH
Signs & Symptoms
Serum Hypoosmolality
Coma and Seizure
Dilutional Hyponatremia
Cramps and Tremors
Euvolemia
Change in LOC
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2 mins
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Nonpharmacologic Interventions
Monitor Serum and Urine Osmolality
IandOs with Daily Weights
Restrict Fluid Intake
Monitor Cardiovascular and Neurological Status
Seizure Precautions
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2 mins
Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Pharmacologic Interventions
Diuretics
Hypertonic IV Fluids
Demeclocycline
Tolvaptan and Conivaptan
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1 min
Diabetes Insipidus Assessment
Polyuria
Nocturia
Low Specific Gravity (USG)
Polydipsia
Dehydration
Hypotension
Tachycardia
Confusion
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2 mins
Sheehan's Syndrome
Postpartum Pituitary Gland Necrosis
Agalactorrhea
Amenorrhea
Secondary Hypothyroidism with Cold Intolerance
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1 min
Acromegaly Assessment
Mechanism
Excess Growth Hormone (GH)
Signs and Symptoms
Protruding Jaw
Large Lips and Nose
Hearing Loss
Enlargement of Hands and Feet
Vision Changes and Headache
Joint Pain
Peripheral Neuropathy
Hyperglycemia
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2 mins
Craniopharyngioma
Hypopituitarism
Remnants of Rathke's Pouch
Tooth-enamel Like Calcification
Cholesterol Crystals
Yellow Viscous Fluid
Headache
Bitemporal Hemianopsia
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1 min
Prolactinoma
Pituitary Adenoma
Galactorrhea
Prolactin Inhibits Gonadotropin Releasing Hormone
Impotence
Amenorrhea
Bitemporal Hemianopsia
Treat with Dopamine
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2 mins
Nephrogenic Diabetes Insipidus Characteristics and Presentation
Characteristics
Defect in ADH Receptor
Normal or Increased ADH Levels
Decreased Urine Osmolality
Etiologies
Kidney Disease
Drugs
Lithium
Electrolyte Disturbances
Clinical Features
Polyuria and Polydipsia
Nocturia
Hypovolemia
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2 mins
Primary Polydipsia
Characteristics
Increased Free Water Intake
Psychiatric Diseases
Diagnosis
Hyponatremia
Normal or Decreased Plasma Osmolality
Decreased Urine Osmolality
Water Deprivation Test
Management
Water Restriction
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2 mins

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