ENDOCRINOLOGIA at Universidad Nacional de San Agustin

Flashcards and summaries for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin

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Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

CONTROL NEUROENDOCRINO DEL EJE HIPOTALAMO HIPOFISIS SUPRARRENAL

Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

DIVISION DE LA GLANDULA SUPRARENAL

Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

CAUSAS DE HIPERCORTISOLISMO- SD. CUSHING 

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DIAGNOSTICO DE SD. CUSHING

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CUADRO CLINICO DE HIPERCORTISOLISMO 

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HPERALDOSTERONISMO

Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

DIAGNOSTICO

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Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

SINTOMAS DE FEOCROMOCITOMA

Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

SIGNOS DE FEOCROMOCITOMA 

Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

REGLA DEL 10 EN FEOCROMOCITOMA

Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

TRATAMIENTO DE FEOCROMOCITOMA

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SINTOMAS DE LA ENFERMEDAD DE ADISSON

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Exemplary flashcards for ENDOCRINOLOGIA at the Universidad Nacional de San Agustin on StudySmarter:

ENDOCRINOLOGIA

CONTROL NEUROENDOCRINO DEL EJE HIPOTALAMO HIPOFISIS SUPRARRENAL

SECRECION PULSATIL: la secreción de hormonas no es uniforme durante todo el día

RITMO CIRCADIANO: secreción de la hormona durante todo el día. sobreimpuesto a la secreción episódica por la amplitud de los pulsos.

RESPUESTA AL ESTRES

VARIABILIDAD INDIVIDUAL

ENDOCRINOLOGIA

DIVISION DE LA GLANDULA SUPRARENAL

CORTEZA: mesodermo, síntesis de hormonas esteroideas (aldosterona, cortisol, andrógenos)

  • Androgenos - Zona reticular
  • Mineralocorticoides - zona glomerular
  • Glucocorticoides - zona fascicular

MEDULA: ectodermo, síntesis de hormonas peptídicas (catecolaminas: adrenalina y noradrenalina)

ENDOCRINOLOGIA

CAUSAS DE HIPERCORTISOLISMO- SD. CUSHING 

adenoma suprarrenal, hiperplasia suprarrenal, carcinoma suprarenal

ENDOCRINOLOGIA

DIAGNOSTICO DE SD. CUSHING

SD. Cushing: obesidad troncular, hirsutismo, DM, HTA, Atrofia muscular

Cribado de la detección de glucocorticoides, prueba de supresión dexametasona 1 mg

DX. etiológico: niveles de ACTH, Test de estimulación con CRH

IMAGEN: 

TC: adenomas, 

RM

ENDOCRINOLOGIA

CUADRO CLINICO DE HIPERCORTISOLISMO 

Piel delgada, equimosis, estrías rojo vinosas, fascie de luna llena, eritema malar, jiba de bufalo, obesidad centrípeta con atrofia muscular de brazos y piernas, acantosis

ENDOCRINOLOGIA

HPERALDOSTERONISMO

Exceso de mineralocorticoides

ENDOCRINOLOGIA

DIAGNOSTICO

Paciente con hipertension arterial y potasio bajo, aumento aldosterona renina, test de captopril / sobrecarga de sodio

TC / RNM, aveces la confirmación es posqx

ENDOCRINOLOGIA

SINTOMAS DE FEOCROMOCITOMA

Cefalea severa episódica

Palpitación

Taquicardia

Sudoración profusa, cambios vasomotores, dolor abdominal, aumento del nerviosismo e irritabilidad

ENDOCRINOLOGIA

SIGNOS DE FEOCROMOCITOMA 

HTA, cardiomegalia, hipotensión ortostatica, hemorragia cerebral o retiniana

Síntomas raros: psicosis , hiperglicemia

ENDOCRINOLOGIA

REGLA DEL 10 EN FEOCROMOCITOMA

10% malignos, 10% bilateral, 10% extradrenales (paragangliomas)

ENDOCRINOLOGIA

TRATAMIENTO DE FEOCROMOCITOMA

QX: preparación prequirugico con bloqueo alfa después de beta bloqueo, para tumores inoperables o metástasis bloqueo alfa, en ocasiones quimioterapia y dose de I131 

ENDOCRINOLOGIA

SINTOMAS DE LA ENFERMEDAD DE ADISSON

Debilidad, cansancio, fatiga- 100%

Anorexia, síntomas intestinales (nauseas, vomitos, estreñimiento, dolor abdominal, diarrea, apetencia de la sal, desvanecimiento postural, dolor en articulaciones y musculos)

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ENDOCRINOLOGÍA

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endocrinologia 🙃

Endocrinologia

Endocrinologia Renzo

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