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Altered Hormonal and Metabolic Function - Coggle Diagram
Altered Hormonal and Metabolic Function
Thyroid Hormone
Excess
Hypermetabolism
Exophthalmos
Goiter
Deficit
Hypometabolism
Goiter
Constipation
Pathologies
Hyperthyroidism (Grave's Disease)
Manifestations
Goiter
Exophthalmos
Irregular Menstrual Cycle in Females
Criteria
Enlarged, Slightly Firm Thyroid Gland
Family History of Autoimmune or Thyroid Issues
Free Thyroxine in Serum TSH
Modalities
Radioactive Iodine (Destroying Gland)
Medication Blocking Thyroid Hormone Production
Ablation of Thyroid Gland
Hypothyroidism (General)
Manifestations
Myxedema
Cold Intolerance
Impaired Memory
Criteria
TSH Assay Test
T4 and T3 Level Test
Antithyroglobulin Test
Modalities
Replace Deficient Hormone
Levothyroxine (Hormone Replacement Therapy Medication)
ADH
Excess
Fluid Retention
Low Urine Output
Hyponatremia
Deficit
Excessive Water Loss through Urine
Fatigue
Nausea/Vomiting
Pathologies
SIADH
Criteria
Serum Sodium < 135 mEq/L
Hypotonicity (Plasma Osmolality < 280 mOsm/kg)
Urine with High Concentration/High Sodium
Modalities
Water Restriction
Iso/Hypertonic Saline IV
Medications to Block ADH or Increase Urine Output
Manifestations
Hypotonic Hyponatremia
Decreased/Concentrated Urine Output
Diabetes Insipidus
Criteria
Patient History (Recent Surgery Involving Head)
Urine Specific Gravity Levels (1.005 or Less)
ADH Levels
Modalities
Hydration
IV Hydration With Hypotonic Solution
Desmopressin
Manifestations
Polyuria
Polydypsia
Highly Dilute Urine with Low Specific Gravity
Glucocorticoids
Excess
Truncal Obesity
Moon Face
Buffalo Hump
Deficit
Hypoglycemia
Anorexia
Poor Stress Response
Pathologies
Cushing Syndrome
Manifestations
Obesity of Trunk, Face, Upper Back
Metabolic Alterations
Impaired Stress Response
Criteria
24-Hr. Urine Collection (Levels of Cortisol Excretion)
Imaging Studies for Tumors Producing Excess ACTH/Cortisol
Modalities
Surgery/Radiation for Tumors
Corticosteroid Medication Needed for Short Time
Growth Hormone
Excess
Skeletal Body Growth
Acromegaly
Edema
Deficit
Short Stature
Obesity
Delayed Puberty
Pathologies
Parathyroid Hormone
Excess
Hypercalcemia
Excessive Osteoclastic Activity/Bone Resorption
Kidney Stone Formation
Deficit
Hypocalcemia
Muscle Spasms
Bone Deformities
Pathologies
Mineralocorticoids
Excess
Hypertension
Muscle Weakness
Metabolic Alkalosis
Deficit
Weakness
Dehydration
Hypotension
Pathologies
Addison Disease
Manifestations
Hypoglycemia
Personality Changes
Poor Stress Response
Dehydration
Hyponatremia
Shock
Criteria
Analysis of Electrolyte Levels Demonstrating Hyponatremia/Hypokalemia
Serum Corticosteroid Measurement
Modalities
Isotonic IV Fluid Replacement (Acute)
Hydrocortisone Sodium Succinate
Antibiotics (Caused by TB)