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Altered Hormonal and Metabolic Function - Coggle Diagram
Altered Hormonal and Metabolic Function
SIADH
Tumor secreting ADH
Altered Feedback mechanism
Excessive ADH
lack of urination
Hyponatremia
Confusion
Laboratory findings
Hypotonicity
High concentration of urine
Absence of renal/thyroid abnormality
Water restriction
Tumor removal
Diabetes Insipidus
Insufficient ADH
Decreased renal absorption
Increased Dilute Urine
CKD can cause this
Decreased Hypothalamus production
Inadequate Kidney response
Consumption of large volumes of water
Hypothalamic-pituitary Axis damage
Polyuria
Polydipsia
History and Physical
Hx of head trauma/surgery
Urinalysis
Increase urinary retention
Hydration
Desmopressin
Hyperthyroidism
Excess in Thyroid Hormone
Excess stimulation
Thyroid disease
Pituitary Adenoma
Hyper-metabolism
weight loss
restlessness
Heat intolerance
Tachycardia
GOITER
Bulging eyes
Graves Disease
Autoimmune hx
Measurement of TSH level
Free thyroxine in serum
Reduce Thyroid level
Radioactive iodine
Thyroid removal
Medications
Hypothyroidism
Low Thyroid Hormone
Congenital
Aquired
Acquired
Low synthesis
Thyroid destruction
Impaired TSH or TRH secretion
Manifesations
Weight gain
Weakness
Lethargy
Myxedema
Tests
TSH Assay
Free T4 level
Total T4
Thyroid hormone replacement
Levothyroxine
Cushing's Disease
Elevation in Gluccocorticoids
Long term medications
Tumors of pituitary gland
Tumor of adrenal gland
Tumor producing ACTH or CRH
Moon Face
Buffalo Hump
Obesity "stretch marks"
Muscle weakness
24 hour urine collection
High levels of cortisol
CT or imaging for tumor finding
Remove cause of excess cortisol
Addisons Disease
Adrenal insufficiency
Lack of CRH
Elevated ACTH
Hyperpigmentation of skin
Hypoglycemia
Anorexia
Poor Stress Response
Diagnosis
Lab findings
Hyponatremia
Hyperkalemia
Serum corticosteroid level
Lifelong medications (glucocorticoid)
Avoid stress
Mineralocorticoid
Damage to endocrine gland