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Types of Hormonal and Metabolic Dysfunction, ADH hormone plays a major…

- - - - Diagnostic Criteria: Sodium level of less than 135 mEq/L.
        
        Treatment: Focus on removing the main cause of the SIADH. Patients with mild symptoms, water restriction is often the only necessary therapy. Severe hyponatremia, requires IV solution. Medications to block the effects of ADH.
      - Leads to Coma, Seizures and psychosis
- - - - Diagnostic Criteria: Patient history and physical exam is obtained. Laboratory measurements to determine: solute concentration and ADH levels
        
        Treatment: Hydration is important part of treatment. Medications, such as DAAVP, potent antidiuretic.
- - - - Diagnostic Criteria: Based on patient's physical and history exam. Laboratory studies such as TSH assay, free T4, T3 uptake.
        
        Treatment: Focuses on replacing the deficient hormone. Life long thyroid therapy replacement (levothyroxine is the most common)
- - - - Diagnostic Criteria: depends on clinical presentation and laboratory analysis of electrolytes. Serum corticosteroid levels.
        
        Treatment: Treatment involves taking hormones to replace those not produced by the adrenal glands. Tuberculosis bacteria can also destroy the adrenal gland, treatment for this includes antibiotics.
- - - - Diagnostic Criteria: Based on patient history and physical examination. Measurement of TSH levels and serum- free thyroxine.
        
        Treatment: Main goal is to reduce production of hormone. By methods of gland removal, radioactive iodine administration and medications to block the hormone production.
      - Due to: Excessive glucose absorption, cardiac output, body heart production, oxygen consumption... etc
      - Symptoms are opposite of each other, due the alteration of hormone level.
- - - - Diagnostic Criteria: Based on 24 hour urine collection during the elevation of cortisol excretion. Imaging studies are needed to locate tumors that may be secreting excess ACTH or cortisol
        
        Treatment: Focuses on removing the cause of excess hormone production. Surgery or radiation for tumor. Corticosteroid medication to avert an adrenal crisis