Endo Examen.docx

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ordine instalare deficit in insuficienta hipofizara – gonadotropi , hormon de crestere, TSH, ACTH ; prolactina nu scade decat foarte rar !!! de obicei creste cand scad altii marker in carcinomul medular – calcitonina ce adenom NU e sensibil la radioterapie – prolactinomul simptome hipertiroidie / hipotiroidie simptome mixedem congenital tiroidita hasimoto – cea mai frecventa cauza de hipo din lume, anticorpi ATPO si antitireoglobulina corticotropinomul – 90% cazuri MICROADENOM feocromocitom – crize tensionale paroxistice cu cefalee si transpiratii hiperlaldosteronism PRIMAR – ARP (activitatea reninei plasmatice) scazuta, hipopotasemie, astenie musculara, parestezii hiperparatiroidism PRIMAR alegi exceptia – Apare in urma unei hipocalcemii prelungite (e fals pentru ca e SECUNDARA in situatia asta) craniofaringiom caracteristici – mai des la copii, calcificari, e tumora BENIGNA ce ii dam prima data intr-un panhipopituitarism – cortizolul pt ca e indispensabil vietii tiroidita de quervain – etiologie VIRALA, tiroida marita de volum, dureroasa care reprezinta anomalie cromozomiala – KLINEFELTER ( 47 XXY) ,celelalte variante deficit de 11 hidroxilaza,etc sunt DIZENZIMOPATII, nu sunt legate de cromozomi tumori/adenoame functionale – cele care produc hormoni – somatotropinom,prolactinom,etc NEfunctional – craniofaringiomul cushing caracteristici addison caracteristici

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