| 1. |
Does this woman with moon face, hair growth and buffalo hump have Cushing's Syndrome? If cortisol levels are elevated, where do I go next?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 2. |
Can a flare up of her pancreatitis cause relative sugar intolerance or do you think this could be the beginning of her needing insulin all the time (fasting blood sugar = approximately 240, two-hour post prandial = approximately 260)?
Disease Category:
Digestive System Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 3. |
What are the normal limits for age of menopause so you can say this is within normal limits (age 36) and you don't have to worry about it?
Disease Category:
Endocrine Diseases; Female Genital Diseases and Pregnancy Complications
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 4. |
Is there a hemoglobin A1C (glycosylated hemoglobin) criterion for diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 5. |
What is the name of that rash that diabetics get? Ends in "diabeticorum."
Disease Category:
Skin and Connective Tissue Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 6. |
I'm not sure when to intervene and get aggressive with patients like this. She has high blood sugars but 3 other endocrinologists haven't suggested anything different and I've quit looking at her sugars. Should I just let her be?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 7. |
I saw an obese diabetic female yesterday who said she couldn't sleep while taking Glucotrol XL. She told me she wanted to go back on insulin in any case (moot point), but I wondered if Glucotrol is associated with insomnia.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 8. |
Is there a generic form of Glynase? He wanted samples because he has no insurance.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 9. |
What are the benefits and risks of treating subclinical hypothyroidism?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 10. |
At first I thought, do I focus on the groin pain or do I do these extraneous tests that he wants (like checking for diabetes) but then I thought "Is impotence a presenting sign of diabetes or a late sign?" "God do I have to look that up or am I going to wing it?" I decided to work him up now.
Disease Category:
Nervous System Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 11. |
What is the incidence of hypothyroidism in a 13-year-old girl? Should I check a thyroid level because of her fatigue or not?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adolescence
|
| 12. |
What is the dose of Tapazole? This patient has a history of hyperthyroidism with Graves disease and hadn't taken anything for awhile. Thyroid level is elevated.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 13. |
Patient with amenorrhea for 6 months. Prolactin slightly high, testosterone slightly high. Follicle stimulating hormone (FSH) and luteinizing hormone (LH) consistent with follicular phase. I just waited and she got her period spontaneously but I don't really have an answer as to the cause.
Disease Category:
Female Genital Diseases and Pregnancy Complications; Endocrine Diseases
Asker Specialty:
Family Practice
|
| 14. |
Should a gestational diabetic have any antenatal fetal well-being testing done?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 15. |
I saw a 54-year-old woman a year ago with severe dyspnea (dying), skin like leather and she was hypothyroid (thyroid stimulating hormone 400, T4 0, T3 0). What happened to her thyroid, why did she get hypothyroid?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 16. |
What is the best interval to repeat thyroid tests on someone who is on thyroid replacement and how soon after I change the dose should I check the level?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 17. |
What are the various strengths of Synthroid and what is appropriate for this patient?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 18. |
How do you deal with a palpable thyroid nodule? What's the workup and treatment?
Disease Category:
Endocrine Diseases; Neoplasms
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 19. |
Patient complains she has been dizzy and can't lose weight for 3 months and she has a friend who has a thyroid problem and wonders if she also has a thyroid problem. Dr. X figures she has vertigo with labyrinthitis although he doesn't usually see labyrinthitis for 3 months. He says he is willing to order thyroid tests which came back slightly low but a repeat was normal. But neurologist suggest...
Disease Category:
Endocrine Diseases; Otorhinolaryngologic Diseases
Asker Specialty:
Family Practice
|
| 20. |
How can I get her to be compliant with exercise and a diabetic diet?
Disease Category:
Nutritional and Metabolic Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 21. |
How do you diagnose reactive hypoglycemia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adolescence
|
| 22. |
How to sort this out? Complaining of right arm pain and numbness - Is it the zoster scarring or is he developing carpal tunnel syndrome? Also he is diabetic and lipids are elevated so that could also be a factor.
Disease Category:
Nervous System Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 23. |
Do angiotensin II inhibitors work like regular angiotensin converting enzyme inhibitors to preserve kidney function in mild diabetes?
Disease Category:
Endocrine Diseases; Urologic and Male Genital Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 24. |
Is it really worth using hormone replacement therapy in this woman who now has spotting and will require an endometrial biopsy?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adolescence
|
| 25. |
A diabetic on insulin. Will these new medications (Glucophage, acarbose) allow me to get off insulin? Physician did not know answer.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 26. |
What is causing her fatigue? Thyroid studies are normal.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 27. |
Is the pain in her legs from intermittent claudication or is it from diabetic neuropathy?
Disease Category:
Cardiovascular Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 28. |
Dr. X received phone call from visiting nurse that his patient who had a leg amputation a long time ago (diabetic) now has an ulceration on her good leg, won't let them in the house to do dressing changes, et cetera. What to do?
Disease Category:
Endocrine Diseases; Musculoskeletal Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 29. |
How do you deal with a patient who is going South next week for the winter and she needs a follow up thyroid function test in 6 weeks?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 30. |
Patient with torn cartilage. Can any of these medications cause her glucose to go up (blood sugar approximately 300 on preoperative laboratory tests)? (Vasotec, Ultram, Prozac, Dicyclomine, Ambien, Tylenol)
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 31. |
84-year-old female nursing home resident, diabetic, phone call from nursing home regarding blood sugars. Why are her blood sugars swinging so much?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 32. |
Insulin dependent diabetes, follow-up hospitalization for skin graft for necrotizing fasciitis of calf. Has areas on graft that "almost look like boils." I'm not sure what this recurrent skin problem is.
Disease Category:
Skin and Connective Tissue Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 33. |
This was Dr. X's partner's patient yesterday so he doesn't know name, age, et cetera, but he helped look up information. They looked up the American Diabetes Association's definition of Type 2 diabetes. Patient with elevated blood sugar. Does he have diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 34. |
How important is it to start this newly diagnosed diabetic on something right away, versus have him come back for patient education and do it then (4+ sugar in urine, random blood sugar 250)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 35. |
15-year-old girl I saw yesterday with vomiting and syncopal episode. Urinalysis showed 4+ glucose, blood sugar approximately 160. Today oral glucose tolerance test approximately 100, 230, 220, 190, 150. What action do we take now? Is this a kid you would start getting Glucometer readings on?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adolescence
|
| 36. |
Is there a recommendation to put people on hormones (hormone replacement therapy) if they haven't been on them for 10-15 years? There are quite a few patients I don't see at menopause but they come in their 60's.
Disease Category:
Female Genital Diseases and Pregnancy Complications; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 37. |
Does Synthroid come in 175 microgram pills? (His thyroid stimulating hormone was approximately 7.0.)
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 38. |
Patient on Estrace. What is the equivalent dose of Premarin?
Disease Category:
Female Genital Diseases and Pregnancy Complications; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 39. |
Does Glynase come in a 6-milligram strength?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 40. |
85-year-old female with night sweats and tachycardia. Normal Holter and thyroid functions. What could be causing the night sweats and tachycardia?
Disease Category:
Cardiovascular Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 41. |
What is the dose of PremPro?
Disease Category:
Female Genital Diseases and Pregnancy Complications; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 42. |
The patient's appointment was for "back hurt" but also has a history of chest pain, angina, diabetes, hypertension, coronary heart disease. Question is how much do I have to workup today? He has a nagging concern about this with this type of patient.
Disease Category:
Musculoskeletal Diseases; Cardiovascular Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 43. |
What would cause thyroiditis and elevated liver function tests?
Disease Category:
Endocrine Diseases; Digestive System Diseases
Asker Specialty:
Family Practice
|
| 44. |
Diabetic with orthostatic hypotension. Secondary to autonomic neuropathy? Was hypertensive but I've been gradually decreasing hypertensive medications. When do you start Florinef and how do you start it and how do you monitor it?
Disease Category:
Endocrine Diseases; Nervous System Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 45. |
Has been on hormone replacement therapy for several years, menopausal for 10 years. Has breast tenderness and spotting a couple of times a year. What can I do to lessen her symptoms related to hormone replacement therapy?
Disease Category:
Female Genital Diseases and Pregnancy Complications; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 46. |
Saw this patient earlier. I overheard his telephone conversation with hospital pharmacist (I believe patient is in hospital). Question he had was whether they make a one gram pill of Glucophage.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 47. |
She gets tachycardia with exertion but it's worse during her period. Is it something to do with her hormones?
Disease Category:
Cardiovascular Diseases; Endocrine Diseases; Female Genital Diseases and Pregnancy Complications
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 48. |
What is the right interval for checking the thyroid stimulating hormone level on patients on thyroid replacement, and if you make a change in dose, when should you check the thyroid stimulating hormone?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 49. |
Patient has nausea after meals. Does she have diabetic gastroparesis or gastritis?
Disease Category:
Digestive System Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 50. |
What is the best way to treat a sinus infection in a patient allergic to Ceftin, penicillin and sulfa? Also has insulin-dependent diabetes.
Disease Category:
Bacterial Infections and Mycoses; Otorhinolaryngologic Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 51. |
How do you motivate a diabetic patient to make positive life style changes; that is, dietary. Patient admits he isn't following recommended diet.
Disease Category:
Endocrine Diseases; Nutritional and Metabolic Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 52. |
Is there something like a screening test for diabetic neuropathy that's practical for family physicians? I'd probably lose those nylon things. I just touch their feet with my finger.
Disease Category:
Endocrine Diseases; Nervous System Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 53. |
Patient with hypertension but history of adrenal insufficiency. Will I make her better or worse if I treat her hypertension?
Disease Category:
Cardiovascular Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 54. |
What do you do when someone has no insurance and has almost no money to buy Chemstrips?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 55. |
Does breast feeding affect diabetic control? Patient says her sugars are dropping and wonders if it is breast feeding that is influencing this. Also needing to use her glasses more.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 56. |
In an old person with an osteoporotic fracture does Fosamax speed or delay the healing process? Does Fosamax interfere with healing?
Disease Category:
Musculoskeletal Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 57. |
This is a little old lady with diverticulitis and diarrhea, acutely ill. She had hirsutism as a teenager and they irradiated her adrenals. Do I need to cover her with steroids?
Disease Category:
Digestive System Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
|
| 58. |
In this patient with a pituitary adenoma, is estrogen safe to use?
Disease Category:
Endocrine Diseases; Female Genital Diseases and Pregnancy Complications; Neoplasms
Asker Specialty:
Family Practice
|
| 59. |
Is an upset stomach a side effect of Glucotrol? Dr. X said she hadn't seen that before.
Disease Category:
Endocrine Diseases; Digestive System Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 60. |
How do you use Redux? What are the indications?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 61. |
How do you workup galactorrhea? I think I should get at least a thyroid stimulating hormone and prolactin level.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 62. |
Nonfasting blood sugar approximately 370, fasting blood sugar approximately 45. Drew glycosylated hemoglobin today. Dr. X thinks there is a condition with high postprandial blood sugars. Is there a better name for glucose intolerance?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 63. |
46-year-old woman. One of her children said, "Mom, what's that lump in your neck?" I think she has a multinodular goiter. Thyroid stimulating hormone, free thyroxine (free T4), parathyroid hormone, calcitonin all normal. Would you skinny needle her?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 64. |
Nurse walked into his office to see what her laboratory work showed. She's on both Cytomel and Synthroid. Her thyroid stimulating hormone is slightly high. Is Cytomel T3 (triiodothyronine) or T4 (thyroxine)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 65. |
Why is she hypoglycemic? No history of diabetes. She tests her sugars at home and they are 50 to 60.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 66. |
How do you remove the memory from the Glucotrol Elite Glucometer?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 67. |
Patient here for preoperative physical for coronary artery bypass graft. Can I change her Synthroid dose a week before her cardiac surgery?
Disease Category:
Endocrine Diseases; Cardiovascular Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 68. |
What is Type IV renal tubular acidosis and how do you treat it (hyporenin hypoaldosterone)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 69. |
What are the relative potencies (equivalent doses) of various estrogens in hormone replacement therapy versus oral contraceptives versus endogenous production? What is the estrogen that is normally in the blood?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 70. |
Is treatment with chromium any good for diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 71. |
What percent of women bleed with continuous estrogen (0.625 milligrams) and Provera (2.5 milligrams) replacement therapy for menopause? If bleeding occurs is an endometrial biopsy necessary? Should a bone density be done first?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 72. |
What should the urine sodium be in someone with Addison's disease? Is 22 consistent?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 73. |
How do you test (screen) for Cushing's disease? How do you do a dexamethasone suppression test?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 74. |
Is there any reason to use captopril as opposed to other angiotensin-converting enzyme inhibitors in diabetics with microalbuminuria?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 75. |
How long after menopause doesn't it do any good to start estrogen to prevent osteoporosis? Is there a time limit for preventing osteoporosis?
Disease Category:
Endocrine Diseases; Musculoskeletal Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 76. |
What is the reference to that article that said to use estrogen even if after 20 years of menopause?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 77. |
What is the protein you can test to see if someone has type 1 or type 2 diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 78. |
How do you figure the mean blood sugar from the hemoglobin A1C (glycosylated hemoglobin)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 79. |
Does an obese postmenopausal woman need hormone replacement therapy?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 80. |
Can diabetes cause an elevated ALT (alanine aminotransferase)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 81. |
What is a "low renin, low aldosterone state"? (hyporeninemic-hypoaldosteronism, Type 4 renal tubular acidosis)
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 82. |
In someone on thyroid replacement (or not on replacement), what does it mean to have a low thyroid stimulating hormone (TSH) with a normal free thyroxine (free T4)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 83. |
Is there any association between vitiligo and diabetes?
Disease Category:
Skin and Connective Tissue Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 84. |
Can low serum testosterone cause fatigue?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 85. |
In a diabetic, already on an adequate dose of angiotensin converting enzyme (ACE) inhibitor for high microalbuminuria or hypertension, is there any reason to continue to screen for microalbuminuria? Or should you just follow the creatinine?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 86. |
Can diabetic neuropathy present as flank radicular pain? Would capsaicin help?
Disease Category:
Nervous System Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 87. |
Which diabetics should get captopril to prevent renal failure? Just those with hypertension? Just early renal failure?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 88. |
How do you dose Glucophage XR (extended-release metformin)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 89. |
If you have someone with mild subclinical (chemical) hypothyroidism, should you start with a low dose of Synthroid (for example, 0.05 milligrams) and work up or just go straight to full replacement (0.1 to 0.15 milligrams) assuming a normal heart?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 90. |
What is the best kind of glucose monitoring machine (like Accucheck) for monitoring type 2 diabetics?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 91. |
Is smoking one pack per day a contraindication to hormone replacement therapy?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 92. |
What is the dose of glucophage (Metformin)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 93. |
Should we use captopril in Type 2 diabetics with microalbuminuria as well as Type 1 diabetics?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 94. |
In a patient using long term steroids for asthma, what screening tests, if any, should be done (for example, dual-energy x-ray absorptiometry (DEXA) scan, cataract check, diabetes screening, and so on)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 95. |
If a woman has had a subtotal hysterectomy (still has a cervix) and needs hormone replacement therapy, does she need Provera?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 96. |
What evaluation should diabetics have at every clinic visit or other periodic evaluation?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 97. |
How do you make the diagnosis of diabetes insipidus?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 98. |
What are the indications for insulin in a type 2 diabetic not controlled on oral agents? What is a reasonable goal for degree of control in Type 2 diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 99. |
How specific is lid lag and exophthalmos for hyperthyroidism? Can anything else do it?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 100. |
When someone is being followed on Synthroid, what blood test should be ordered to be sure they are on the right dose?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 101. |
What are the causes of the syndrome of inappropriate antidiuretic hormone secretion (SIADH)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 102. |
Is it ever helpful to alter the timing of when glipizide is taken (the way you would with insulin) to get the bedtime blood sugars down in diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 103. |
When should you use Humalog (insulin lispro) versus regular insulin?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 104. |
When should we be using troglitazone (Rezulin) for patients with diabetes? Which patients? How often to check liver enzymes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 105. |
What is the drug of choice to start with in Type 2 diabetics (advantages and disadvantages of each)? Should they start with a sulfonylurea or some other drug for their diabetes? What combination of oral agents are okay to use?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 106. |
When will inhaled insulin be available?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 107. |
What is the euthyroid sick syndrome?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 108. |
Is there any association between thyroid function and urticaria? A patient's urticaria got better when she was hypothyroid and worse when given replacement therapy.
Disease Category:
Skin and Connective Tissue Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 109. |
How often should you check liver function tests in patients on the "glitazones" like rosiglitazone (Avandia)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 110. |
What are the indications for getting a C-peptide (C peptide) and islet cell antibodies? Is it useful to differentiate Type 1 from Type 2 diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 111. |
What is the difference between the glycohemoglobin (total) and the glycohemoglobin A1C on the Laboratory X report compared to the "glycosylated hemoglobin" we used to get from Laboratory Y?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 112. |
What is the treatment for hyperthyroidism due to Graves' disease?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 113. |
How high does the triiodothyronine (T3) have to be to consider T3 thyrotoxicosis? How high would Premarin make it go?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 114. |
What kind of parathyroid hormone should you order if you want to rule out hyperparathyroidism?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 115. |
What blood sugars should you try to achieve when treating a gestational diabetic?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 116. |
What dose of captopril should you use in a diabetic with microalbuminuria?
Disease Category:
Urologic and Male Genital Diseases; Endocrine Diseases
Asker Specialty:
Family Practice
|
| 117. |
What would cause a low thyroid-stimulating hormone (TSH) and a low free T4 (thyroxine) in someone on treatment for hyperthyroidism?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 118. |
If you have a high thyroid stimulating hormone (TSH) and low free thyroxine (T4), do you need to do any workup like thyroid antibodies or can you just treat? Consider temporary condition like thyroiditis? Follow them up for regaining thyroid function?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 119. |
How do you do a Cortrosyn (cosyntropin, ACTH) stimulation test to diagnose Addison's disease?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 120. |
Can metformin cause a mild acidosis that does not require stopping the drug?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 121. |
If you want to do a thyroid scan for hyperthyroidism, what kind of scan should you do (technetium, I-125, I-131, and so on)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 122. |
If the patient is already on an adequate dose of angiotensin converting enzyme (ACE) inhibitor for hypertension, and they then develop new microalbuminuria, is there anything further to do?
Disease Category:
Endocrine Diseases; Digestive System Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 123. |
In a diabetic, at what amount of urine protein per 24 hours should you treat with captopril?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 124. |
Is diabetes a risk factor for carpal tunnel syndrome?
Disease Category:
Endocrine Diseases; Musculoskeletal Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 125. |
If you detect microalbuminuria on a random urine, should you just treat with captopril or should you get a 24-hour urine protein to document the level?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 126. |
What is the next step in the workup of a patient with a high free T4 (free thyroxine) and a low thyroid stimulating hormone (TSH)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 127. |
Should we use captopril in diabetic patients even if they have no microalbuminuria to prevent diabetic nephropathy?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 128. |
What is the pharmacy number and the regimen for micronized progesterone in PMS (premenopausal syndrome)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 129. |
What labs should you get to monitor someone with congenital adrenal hyperplasia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 130. |
What is euthyroid sick syndrome? Is it an abnormal-lab problem only or a physiologic problem? Is it a triiodothyronine (T3) problem?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 131. |
What is the evidence that micronized progesterone works for PMS (premenstrual syndrome)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 132. |
What would cause breast pain (mastodynia) in a 63-year-old woman, not on estrogen?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 133. |
Do fluctuations or abnormal levels of estrogen and progesterone (such as with menopause or cyclic changes) cause emotional upset?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 134. |
What would cause a patient to have a low free T4 (thyroxine) and a high TSH (thyroid stimulating hormone) when the hypothyroid patient is on Synthroid chronically (0.25 milligrams every day)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 135. |
How should we be treating diabetes now that the Diabetes Control and Complications Trial is finished?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 136. |
What are antithyroid microsomal antibodies and when should you order them and how do you interpret the results?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 137. |
What is the mechanism of edema in myxedema?
Disease Category:
Endocrine Diseases; Skin and Connective Tissue Diseases
Asker Specialty:
Family Practice
|
| 138. |
What would cause a normal free T4 (free thyroxine) with a high thyroid stimulating hormone (TSH) in someone on thyroid replacement?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 139. |
What would cause hot flashes in a 44-year-old woman who is still having periods?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 140. |
By what mechanism of action do thiazide diuretics impair glucose tolerance?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 141. |
Is Amaryl (glimepiride) better than other sulfonylureas for diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 142. |
What is Lantus insulin (insulin glargine)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 143. |
What are the indications for Sandostatin (somatostatin)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 144. |
What is the association between alcoholism and diabetes? Does alcoholism cause diabetes?
Disease Category:
Disorders of Environmental Origin; Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 145. |
What would cause an elevated free thyroxine (T4) and a normal thyroid stimulating hormone (TSH) (on or off replacement)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 146. |
If you are treating someone for hypothyroidism and the TSH (thyroid stimulating hormone) is high (14) and the T4 (thyroxine) is normal, should you go up on the Synthroid?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 147. |
What are the indications for growth hormone in a small child?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Child, Preschool
|
| 148. |
Is the new blood sugar monitoring device (AtLast) that diabetics use on the forearm legitimate?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 149. |
How do you treat a nontoxic goiter?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 150. |
How should you evaluate gynecomastia in an adolescent boy?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adolescence
|
| 151. |
What does a slightly low free thyroxine (free T4) with a normal thyroid stimulating hormone (TSH) mean in a patient on thyroid replacement or not on replacement?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 152. |
How do you approach the asymptomatic patient with diffuse thyroid enlargement noted on routine exam? What is the work up?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 153. |
When you want to know the serum estrogen level, why do you get a follicle-stimulating hormone (FSH)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 154. |
What causes adrenal calcifications on plain x-ray film of the abdomen?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 155. |
How do you diagnose diabetes just based on a random blood sugar or a fasting blood sugar (diagnostic criteria for diabetes, definition of diabetes)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 156. |
What is the differential diagnosis of gynecomastia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 157. |
What is the "dawn" phenomenon and how do you know if someone has it?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 158. |
What are the signs and symptoms of adrenal insufficiency?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 159. |
How soon will it be before transcutaneous glucose monitoring is available similar to pulse oximetry?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 160. |
What are the indications and contraindications for glucophage (Metformin)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 161. |
Do you know if Armour Thyroid suppresses the thyroid stimulating hormone but leaves the free thyroxine normal?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 162. |
35-year-old man. Gynecomastia in males. My question is, is there any way of clinically knowing that it is benign, so that I would not have to refer?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 163. |
Last week I had a 37-year-old diabetic female and I wanted to convert her from regular insulin to Humalog and the question was, "What is the conversion factor, so I know how much Humalog to give?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 164. |
A patient of somebody else. Simple question. Came in with a huge international normalized ratio (prothrombin time). They decreased his Coumadin one week prior. He was getting too much thyroid. Free thyroxine was high. I don't know if that can affect the Coumadin.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 165. |
75-year-old man with diabetes. What is the maximum dose of glyburide?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 166. |
Is it OK to breast feed when you're on propylthiouracil?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 167. |
The physician said, "That's my question. If the glycosylated hemoglobin is good and the 3-day monitor shows wide swings, would it be even better if the monitor was a flat line rather than up and down? If the lows are averaged with the highs, is that just as good as having less wide swings?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 168. |
Is there any difference among different types of estrogen in terms of adverse effects and benefits, such as vaginal atrophy, mood, and breast tenderness?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 169. |
What is the accuracy of non-finger-stick blood sugar checkers?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 170. |
Newborn. Question from resident to study physician. Why are oral hypoglycemics contraindicated in diabetic mothers during pregnancy and why was this mother on glyburide and everyone thought that was OK?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Infant, Newborn
|
| 171. |
38-year-old woman. "Does all axillary breast tissue have to be removed?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 172. |
70-year-old woman. A year after stopping Prempro she was still having hot flashes. She (the patient) asked, "Shouldn't a 70-year-old woman stop having hot flashes?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Aged
|
| 173. |
18-year-old male with a thyroid stimulating hormone of about 300, triglycerides 2000, low-density-lipoprotein cholesterol 450, high-density-lipoprotein cholesterol 20. My question was, "With that high a thyroid stimulating hormone, do we start with a higher than normal dose of Synthroid (0.1 milligrams)? And is any other evaluation indicated?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adolescence
|
| 174. |
A newborn was found to be hypoglycemic at birth on routine screen and despite treatment it persisted and was not responsive to treatment. The question was what to do about this.
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Infant, Newborn
|
| 175. |
"13-year-old boy, very overweight, has gynecomastia. Mother said, 'I just read a magazine article about a treatment for gynecomastia.' Is there a pill for gynecomastia? I didn't know of any."
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Adolescence
|
| 176. |
"Is there a familial high thyroid-stimulating hormone syndrome where the thyroxine and triiodothyronine are normal?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Infant, Newborn
|
| 177. |
What are the differences between iodine and Technetium thyroid scans?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 178. |
My patient was convinced she had hypothyroidism. Her labs were normal in August and I even checked antithyroid antibodies and they were negative. She asked another physician to check her thyroid antibodies again and her thyroid peroxidase antibody was two times the upper limit of normal, so I called an endocrinologist and said, "Now what do I do with this?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 179. |
8-year-old boy with failure to thrive. The question would be, what endocrine tests to get. Do you get a growth hormone? Do you do cortisol levels? Thyroid function tests?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Child
|
| 180. |
23-year-old woman with Graves disease. She developed an absolute neutrophil count of 30 on Tapazole (total white count 3000, 1% neutrophils). Is there any cross reactivity between Tapazole and propylthiouracil? Is it safe to start propylthiouracil?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 181. |
I have a lady with Graves disease (33 years old). She was trying to get pregnant when she was diagnosed with Graves. So the question is, what is the best treatment for Graves in someone who is trying to get pregnant, and, if we use radioactive iodine, how long does she need to wait?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 182. |
6 and 11/12-year-old boy referred from a family physician with adrenarche. Wondering about precocious puberty. Did a bone age which was consistent with 8 years old, so I (study physician) said that's significant. But when I called the mother she said, well that's only one year, is that significant? So my question was, "What is a significant bone age discrepancy?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Child
|
| 183. |
49-year-old woman with hypertension, hypokalemia, not hirsutism. I (study physician) called the endocrinologist and basically said, "What do I do?" I (investigator) suggested at the same time she said this, "What was the question, was it 'What's the next step with the workup?' " She said, "Yes, that would be the way to phrase that."
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 184. |
I have a 30-year-old woman with Type 1 diabetes and when we started her on Lipitor, her sugars went up into the 300's. She asked me if Lipitor could cause this and I didn't know, so looked it up in a reference.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 185. |
46-year-old woman with pituitary. There should be a book with all you need to know about prescribing steroids. It should have all types of steroids and a comparison scale with the concept of equivalent doses and the concept of physiologic levels and the concept of stress dosing, and how to bump up and taper down.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 186. |
41-year-old woman. In women in their early 40's, still menstruating, having regular cycles, but having hot flashes, normal follicle stimulating hormone, do you really do hormone treatments with them? What do you do with these people? Hormone replacement? Should we do it?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 187. |
"Followup for breast biopsy that shows hyperplasia. Not atypical hyperplasia. But what do you do about breast hyperplasia on biopsy?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 188. |
38-year-old woman. Why is the glycosylated hemoglobin good (6.5) even though the blood sugars are mostly high (150 fasting and 200's by the end of the day)?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 189. |
Phone call from patient on Prempro which she stopped when she heard the news. But now she has severe hot flashes. "What's different about Ortho Pretest compared with Prempro?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 190. |
40-year-old woman with Type 1 diabetes and depression. I (investigator) saw her (physician) looking in a reference. "I'm just thinking of this person with horrible depression -- what I could add in."
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 191. |
Email question from study physician: "A frail, thin, 82-year-old male presented to me with new onset of unilateral gynecomastia. Now the question is: Do I have to pursue any further workup? Mammogram? Is this similar to the adolescent male unilateral gynecomastia that we sometimes see, or is this more worrisome?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 192. |
My patient was convinced she had hypothyroidism. But her labs were normal. The thyroid stimulating hormone was normal but at the upper end of normal. I called Dr. X (endocrinologist) and said, "Now what do I do?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 193. |
40-year-old man with diabetes, wanted disability. They never teach this in medical school but it's so common in practice. How to do a disability evaluation (was my (investigator) sense of the question).
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 194. |
We saw this lady with a history of renal stones and hypercalcemia. The parathyroid hormone was 5 (normal 10 to 65), the calcium was about 9 (normal) and the phosphorus was about 2.0 (should be greater than 2.5). "So it's like, OK, what do we do with this now?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
|
| 195. |
60-year-old man. Low calcium on screening labs. History of thyroidectomy for hyperthyroidism. I followed up the low calcium with parathyroid hormone, phosphorus, and vitamin D levels which confirmed hypoparathyroidism. Patient was totally asymptomatic. Why do I need to treat? Can it be left alone until he develops symptomatic hypocalcemia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 196. |
I had a pregnant patient on Synthroid and I called Dr. X (endocrinologist). He said to find out why she has hypothyroidism because it can make a difference to the baby. I (investigator) asked, "What was the question when you called Dr. X?" She said, "How do I manage thyroid replacement in pregnancy? What laboratory tests do I need to follow?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 197. |
A middle-aged man with impotence on Prozac and Atenolol had a low free testosterone and it was low two years ago. Follicle stimulating hormone and luteinizing hormone were normal. Would I need to do a magnetic resonance imaging of the sella?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 198. |
I checked to see if there were any interactions between iron and thyroxine.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 199. |
I had another lady with a multinodular goiter, diagnosed on ultrasound. They recommended a repeat ultrasound in 6 months, which we did recently and now they are reporting a solid nodule in the lower left lobe, but they said it was smaller than it was previously, but they did not report it on the previous ultrasound, so, "now what do I do with her?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 200. |
"Overweight woman having more hot flashes. All the specifics about that. For example, does it take longer to get over them if you are overweight? How long does it take to get over them when you stop hormones?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 201. |
Eleven-year-old boy with Down syndrome. Sleep apnea can increase the thyroid stimulating hormone but by how much and is that because night time growth hormone suppresses and overlaps somehow with the rest of the pituitary? "I wanted to know if there was a special antibody I should get."
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Child
|
| 202. |
I (investigator) saw the study physician open a reference. I said, "What's the . . . ?" She said, "I'm just looking for doses for miglitol."
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Aged
|
| 203. |
13-year-old boy complaining of gynecomastia. Obese, type 2 diabetic. I don't know what to do about the gynecomastia. I don't know whether hormonal treatments would be better or surgery.
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Adolescence
|
| 204. |
47-year-old man. What is the significance of a low free testosterone and normal gonadotrophins in a male with erectile dysfunction? Shouldn't you have high gonadotrophins if the free testosterone is low? Do these people all have pituitary insufficiency?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 205. |
42-year-old man. Is he diabetic is the question. He has impaired fasting glucose (114). He had a 2-hour-glucose-tolerance test and his fasting was 109, one hour 212 (inadvertently done, I just wanted fasting and two hour), and 2 hour was 66. Glycosylated hemoglobin was about 5.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 206. |
Could diphtheroids cause an abscess and should they be treated?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Adult
|
| 207. |
21-year-old man with diabetes, I saw last Saturday when I was on "city call" (taking patients in the emergency room who had no personal physician). He had new-onset diabetes but the question was, "Was it Type 1 or Type 2?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 208. |
62-year-old man. One question is the management of fasting hyperglycemia or impaired glucose tolerance, whatever you want to call it. "Nobody really talks about how often to check blood sugars." "And how aggressive to be with lipids in that setting." "So just sort of general management of impaired glucose tolerance."
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 209. |
36-year-old woman. The thyroid stimulating hormone is low but the free thyroxine is normal. What does it mean?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 210. |
50-year-old woman with an adrenal "incidentaloma" on computerized tomography scan. "Does positron-emission tomography (PET) scanning have a place in the evaluation of an adrenal incidentaloma?" When should you order it? What is the role of positron-emission tomography in this situation? Would a positron-emission tomography scan tell you if it was cancer?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 211. |
I have a 65-year-old woman with Type 2 diabetes who was new to me 7 months ago. The Food and Drug Administration recently said not to use glitazones with insulin because of the risk of congestive heart failure. But now her glycosylated hemoglobin is better and her insulin requirement is down to 40 in the morning and 32 at night. So what do you do with that information?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 212. |
What is the treatment for tri-iodothyronine thyrotoxicosis?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 213. |
This patient's blood sugar is fine, but her father has Type 2 diabetes and several nieces and nephews have Type 1 diabetes. The patient has one daughter. The question is, how frequently should she (the daughter) be screened for diabetes.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 214. |
I looked up the diagnosis and therapy of hyperthyroidism in this reference. The question was how to differentiate the different causes of hyperthyroidism.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 215. |
19-year-old thin Type 1 diabetic inpatient with severe episodes of right upper quadrant pain. Normal ultrasound and upper endoscopy but her HIDA (hydroxyiminodiacetic acid) scan showed "barely visible gallbladder" and poor "ejection fraction." The question is what to do with this HIDA (hydroxyiminodiacetic acid) scan result. Could being NPO (nothing by mouth) affect the HIDA (hydroxyiminodiacet...
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Adult
|
| 216. |
"Thyroid and weight fluctuations -- fact or fiction?" I think if you have Graves disease you can lose weight but I don't believe you gain weight with hypothyroidism. "What's the correlation?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 217. |
Adding Cytomel (T3) to augment Synthroid in patient's with depression and hypothyroidism. I can't find any good evidence for that. I (investigator) asked her what the question was and suggested, "Is that a legitimate thing to do?" She agreed that was the question.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 218. |
I had a 70ish-year-old woman who had some sort of neurologic event when she was visiting someone in the nursing home. We got some labs and her free thyroxine was 0.7, normal is 0.8 to 1 and her thyroid stimulating hormone was 1.8 which is pretty low for that thyroxine. So we spent 30 to 40 minutes using an online reference.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Aged
|
| 219. |
Here's a question: In someone with Addison's disease, is there any blood test you can do to check to see if they're on enough steroids, like an ACTH level or something?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 220. |
I had a kid with congenital hypothyroidism and I tried to look up how often and when do you need to monitor his thyroid stimulating hormone and thyroxine.
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 221. |
10-year-old girl complaining of a buffalo hump on the back of her neck. What causes a buffalo hump besides Cushing Syndrome?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Child
|
| 222. |
63-year-old man with the syndrome of inappropriate antidiuretic hormone. When you're on a diuretic, the diuretic messes up the serum osmolality and urine osmolality, so how do you work up hyponatremia when the patient is on a diuretic?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Middle Age
|
| 223. |
21-year-old pregnant woman had a one-hour glucose of about 190. Her glucose tolerance test was about 90 (fasting), about 210 (one hour), about 160 (two hours), about 130 (three hours). Normals are less than 105, 190, 165, 145. "Do I need to be checking a random blood sugar every time?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 224. |
27-year-old man with Type 1 diabetes. The magnetic resonance imaging showed a thalamic stroke. The erythrocyte sedimentation rate was 90. "That kept troubling me." I don't know what else to do. Is it from the diabetes? Is it from the anemia? Is that the reason for his erythrocyte sedimentation rate or should I work it up further and how to work it up?
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 225. |
Mastodynia. I (investigator) prompted her for what the question was. I suggested, "What is the workup and treatment for mastodynia?" She (study physician) said, "Well, there really is no workup after you've eliminated caffeine. Once you've eliminated caffeine, what else is there?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 226. |
Four-day-old male under bililights. The congenital adrenal hyperplasia test came back positive. How do I deal with this?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
Patient Age:
Infant, Newborn
|
| 227. |
I have a patient with Graves disease. Ablation done. Still hyperthyroid. Every time I get her lab work back I have to rethink how to adjust her Tapazole.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 228. |
What is the dose of Amaryl?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 229. |
"Hypothyroid patient seen yesterday. I thought antithyroglobulin was for Graves and thyroid peroxidase was for Hashimoto's." I (investigator) prompted, "So the question was whether you were remembering this right?" And she said yes.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 230. |
Why does this patient have hypocalcemia? Is it part of why he feels poorly?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Aged
|
| 231. |
Interesting patient (29-year-old woman), saw her as a gestational onset diabetic but now, post partum, she has Type I diabetes. Her c-peptide was about 0.5 nanograms/milliliter (normal 1-5) and her serum insulin was about 2 (normal 6 to 27). "Is this definite Type I diabetes?"
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Adult
|
| 232. |
I have to look up thyroid nodules. So the question is how to work up thyroid nodules.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 233. |
I've got a guy with a goiter who is hypothyroid. I had the surgeon look at him after getting an ultrasound and the surgeon increased the dose of Synthroid even though the thyroid stimulating hormone was normal. He wanted to oversuppress her to make the goiter shrink and reduce the risk of cancer. But I didn't think you were supposed to do that.
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
|
| 234. |
What is the equivalent dose of Synthroid for someone on Armour Thyroid 180 milligrams per day?
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Adult
|
| 235. |
61-year-old man. Are there any competitors to Androgel? I looked it up in a reference in the exam room.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 236. |
73-year-old woman. The radiologist said on the mammogram report, "increased density possibly related to hormone replacement therapy." "Can they say that? That seems like a clinical diagnosis."
Disease Category:
Endocrine Diseases
Asker Specialty:
Internal Medicine
Patient Age:
Aged
|
| 237. |
I can't remember the formula for converting hemoglobin A1C to average blood sugar.
Disease Category:
Endocrine Diseases
Asker Specialty:
Family Practice
Patient Age:
Middle Age
|
| 238. |
What is Kussmaul breathing?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 239. |
What dosage of oral Celestone is needed?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 240. |
What dosage of aqueous vasopressin is needed?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 241. |
How do I diagnosis congenital adrenal hyperplasia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 242. |
What is the normal value of thyroid stimulating hormone?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 243. |
Is this girl normal early puberty or true precocious puberty?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 244. |
How do you manage new onset diabetic ketoacidosis?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 245. |
What do I need to know about the syndrome of inappropriate antidiuretic hormone?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 246. |
What are the glucose protocols for this infant?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 247. |
What signs do I look for when monitoring diabetic ketoacidosis?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 248. |
What is the differential diagnosis and how do you treat gynecomastia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 249. |
How do I manage newly diagnosed diabetes?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 250. |
What is the most common etiology of hypothyroidism in a teenager?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 251. |
What is the pathway of the enzymes that is making this congenital adrenal hyperplasia abnormal?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 252. |
What are the signs and symptoms of hyperthyroidism?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 253. |
Is gestational diabetes treated the same as type 1 diabetes? (the question is for the treatment of the baby)
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 254. |
What is the lab work-up for gynecomastia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 255. |
For diabetes insipidus, when do we use DDAVP (desmopressin) in regard to sodium levels?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
| 256. |
What are some ways to treat congenital adrenal hyperplasia?
Disease Category:
Endocrine Diseases
Asker Specialty:
Pediatrics
|
