Endocrinology

Insulin resistance: Seen in

 "PAWAL in OP"

Read as 'Powell in OP'.

  • Pregnancy
  • Acromegaly
  • Werner syndrome
  • Ataxia telengectasia
  • Lipoatrophic diabetes mellitus
  • Obesity
  • Pheochromocytoma
0

Hyperparathyroidism: Features

"OPrah Lost Brown Basket & Expired Salt"

  • OsteoPenia
  • Loss of Lamina dura
  • Brown tumour
  • Basket appearance of cortex
  • Subperiosteal Erosion
  • Salt and pepper skull on Xray

 

4

Diabetic ketoacidosis (DKA): Management

NIKAH "

  • Normal saline infusion (0.9%)
  • Insulin
  • K (potassium replacement)
  • Antibiotics (in case of infections)
  • H (bicarbonate infusion in severe acidosis)
4

Pheochromocytoma

Pheochromocytoma is a tumour of chromaffin cells.

Chromaffin cells secrete catecholamines.

Rule of 10

  • 10% familial (MEN 2, Neurofibromatosis etc)
  • 10% extra adrenal (mediastinum, heart, bladder wall)
  • 10% malignant

 

Clinical Features : 5P's

1. Pounding headache

2. Palpitations

3. Perspiration

4. Paroxysmal hypertension (usually)

5. Pain (abdominal pain)

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