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Alterations in Hormones - Coggle Diagram
Alterations in Hormones
ADH alteration
SIADH
: excess ADH production & secretion (water retention)
CM:
Decreased, concentrated UOP
Anorexia, N/V
HA, irritability
Muscle cramps
Weakness, confusion
Hypotonic hyponatremia (low sodium in blood)
Diagnostics:
Sodium < 135
Hypotonicity: plasma osmolality < 280
Decreased urine
Highly concentrated urine (particularly w/ salt)
Treatment:
Mild: water restriction
Severe: isotonic or hypertonic saline IV
DI
: insufficient ADH (water loss)
CM:
Polyuria
Polydipsia
Low urine specific gravity
Serum hyperosmolality
Diagnostics:
serum solute concentration
-ADH levels
Urine specific gravity
Treatment:
Hydration
Desmopressin (DDAVP)- synthetic vasopressin/ ADH
Adrenal cortex alterations
Cushings
: excess adrenal hormone production
Diagnostics:
24hr urine (high cortisol)
Imaging to locate tumor
Treatment:
surgery/ radiation (tumor removal)
corticosteroids
CM:
Moon face, buffalo hump
Weakness, muscle wasting
thin skin, ulcerations
poor wound healing
Glucose intolerance
Addison's
: adrenal cortex insufficiency
Diagnostics: serum corticosteroid levels, electrolyte levels
Treatment:
Isotonic IV fluid
Hydrocortisone sodium succinate/ phosphate
CM:
hyperpigmentation
hypoglycemia
-weakness, fatigue
anorexia/ nausea
weight loss
dehydration/ hyponatremia
hypotension/ shock
Thyroid hormone alterations
Graves
: hyperthyroidism--> excessive stimulation of thyroid
Diagnostics:
Increased radioactive uptake by thyroid
Low TSH, high T3&4
Treatment:
Thyroid gland destruction via radioactive iodine
Surgical removal or partial removal
Ablation
CM:
Weight loss
Agitation, restlessness
Sweating, heat intolerance
Diarrhea
Tachycardia, palpitations
Tremors
Fine hair
Oily skin
Irregular menstruation
Goiter
Exophthalmos
Hashimotos
: hypothyroidism,autoimmune destruction of thyroid gland
Diagnostics: High TSH, low T3&4
Treatment: Levothyroxine (synthetic T4)
CM:
Fatigue, weakness, lethargy
Cold intolerance
Weight gain
Dy skin
Coarse hair
Constipation
Impaired reproduction & memory
Myexedma