Endo document

Question 1

Diabetes

Stocking glove sensory neuropathy

typically ___ and correlated w ___

may develop __ over ___ (pressure point) and ___ (damage due to joint anestheia)

A___

C___

Necrobiosis lipoidica diabeticorum- ____ lesion

begins as ___ w ___ and ___

Answer 1

symmetric, poor glucose control

foot ulcers, metatarsal heads, charcot joints

acanthosis nigricans

cotton wool spots

pretibial

well circum plaque, waxy center, telangectasia

Question 2

Addison's dz
D\_\_ on \_\_\_
G\_\_\_ aka weakness
Psych sx such as \_\_/\_\_/\_\_
Enhanced
L
W
H

Answer 2

diffuse hyperpigmentation, scars/oral mucosa
general asthenia
depression, schizo, bipolar illness
olfaction, taste, hearing
low BP
wl
hirsutism

Question 3

Cushings Dz
B, T, P, T
Skin has \_\_ and \_\_\_\_
M
G
Women may have \_\_\_
H

Answer 3

Buffalo hump, truncal obesity, peripheral edema, thin extremities
ab straie, thin skin/easy bruise
moon facies
gynecomastia
amenorrhea/hirsutism
HTN

Question 4

Acromegaly
Large/thick __, __ no longer fit

__ and ___ prominence

Visual field abnormalities due to ___, such as ___

may have ___ (MCC death)

Answer 4

hands, rings

enlarged mandible, frontal bone

large pituitary adenoma, bitemoral anopsia

HF

Question 5

Hyper T
Lid lag- ask pt to __ and then ___

if __ can be seen bw __ and __

caused by ___ of ___
Tremor is __ and ___ due to ___

Skin is 
H
D/W
O
T and H
D

Answer 5

look up, look down rapidly

sclera, iris/lid

high SNS tone of levator palpebrae
fine/action, hyperadrenergic

smooth, velvety
heat intolerance
diarrhea/wl
onycolysis
Tachycardia, high output HF
DTR are rapid

Question 6

Pembertons sign- ___ produced by ___

can be seen w ___ into the ___

Graves dz commonly cuases ___ due to ___ stimulating hormone prdxn

Findings of __ w __ due to soft tissue accumulation behind___

__ enlarged
___ - localized, nonpitting dermopathy

Answer 6

facial plethora, raising both arms

large thyroid goiter, thoracic inlet

hyperT, AA

hyperT, proptosis, globe

thyroid gland
pretibial myxedema

Question 7

HypoT findings
Coarse, dry \_\_ and \_\_ w loss of \_\_
W and M
B
C
C
D

Answer 7

hair/skin, lateral eyebrows

WG, myalgia

bradycardia

cold intolerance

constipation

DTR slow relaxation (Woltman sign)