Endocrinology & Diabetes — Flashcards

Flashcard 321: All patients with newly diagnosed or stable thyroid eye disease require a referral to a _____.

Answer: specialist thyroid eye clinic

Extra: While stable cases receive a routine referral, **emergency (same-day) referral** is indicated if there is: 1. Sudden change in vision (decreased visual acuity). 2. Color vision changes. 3. Significant proptosis with corneal exposure/ulceration. 4. Optic disc swelling.

Flashcard 322: _____ is indicated in patients with thyroid eye disease and vision-threatening complications such as optic nerve compression, globe subluxation, corneal exposure (exposure keratopathy)

Answer: Urgent admission to ophthalmology

Flashcard 323: _____ should be considered in any patient with hypercalcaemia

Answer: Malignancy

Flashcard 324: Osteomalacia/rickets is managed with _____

Answer: vitamin D supplementation

Flashcard 325: Rickets can present with deformities of the knees, especially _____

Answer: genu varum

Flashcard 326: Thyroid pain associated with subacute granulomatous thyroiditis (De Quervain's) may improve with _____ or other NSAIDs

Answer: aspirin

Flashcard 327: PTH is secreted by chief cells in response to _____ detected by cells in the parathyroid gland

Answer: hypocalcaemia

Flashcard 328: _____ is the first-line managment for primary hyperparathyroidism in patients who meet one or more of the following criteria: symptomatic disease, <50 years of age, serum adjusted calcium >2.85 mmol/L, eGFR <60

Answer: Parathyroidectomy

Flashcard 329: Rickets can present with pathology of the skull including: _____ and frontal bossing

Answer: craniotabes (soft skull)

Flashcard 330: Rickets can present with pectus _____

Answer: carinatum