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Endocrine System Disorders
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Multiple Endocrine Neoplasia Type 1 (MEN1)
Symptoms: Tumors in parathyroid, pancreatic islet cells, and pituitary gland. Treatment: Surveillance, surgery for symptomatic tumors. Nursing Interventions: Genetic counseling, monitor for symptoms of hormone excess, post-surgical care.
Hypoparathyroidism
Symptoms: Muscle cramps, paresthesia, seizures, cardiac arrhythmias. Treatment: Calcium and Vitamin D supplementation. Nursing Interventions: Monitor serum calcium levels, patient education on supplement adherence, seizure precautions.
Hyperparathyroidism
Symptoms: Weak bones, kidney stones, excessive urination, abdominal pain. Treatment: Surgical removal of the affected glands, bisphosphonates, hydration therapy. Nursing Interventions: Monitoring for hypercalcemia, patient education on hydration, post-surgical care.
Diabetic Ketoacidosis (DKA)
Symptoms: Polyuria, polydipsia, nausea, fruity breath odor. Treatment: Insulin therapy, fluids, electrolyte replacement. Nursing Interventions: Blood glucose and ketone monitoring, managing dehydration, patient education to prevent recurrence.
Hashimoto's Thyroiditis
Symptoms: Fatigue, weight gain, cold intolerance, depression. Treatment: Thyroid hormone replacement therapy. Nursing Interventions: TSH and T4 monitoring, patient education on lifelong medication, support for mood symptoms.
Pituitary Adenoma
Symptoms: Depends on hormones affected, can include vision changes, headache, hormone imbalances. Treatment: Medication, surgery, radiation. Nursing Interventions: Visual field assessments, hormone level monitoring, post-operative care for transsphenoidal surgery.
Diabetic Retinopathy
Symptoms: Vision changes, spots or dark strings floating in vision (floaters), blurred vision, vision loss. Treatment: Laser treatment, vitrectomy, managing diabetes. Nursing Interventions: Encourage regular eye exams, control blood sugar and blood pressure, patient education.
Polycystic Ovary Syndrome (PCOS)
Symptoms: Irregular periods, hirsutism, obesity, infertility. Treatment: Birth control pills, anti-androgens, weight management. Nursing Interventions: Education on lifestyle modifications, fertility management, diabetes screening.
Diabetes Mellitus Type 2
Symptoms: Often asymptomatic, may include fatigue, increased thirst, frequent urination. Treatment: Dietary modifications, oral hypoglycemics, insulin. Nursing Interventions: Blood glucose monitoring, promoting healthy lifestyle changes, medication adherence education.
Cushing's Syndrome
Symptoms: Weight gain, moon face, buffalo hump, abdominal striae. Treatment: Surgery, radiation, or medications to reduce cortisol levels. Nursing Interventions: Monitor for signs of infection, glucose levels, and blood pressure.
Addison's Disease
Symptoms: Fatigue, weight loss, hypotension, hyperpigmentation. Treatment: Corticosteroid replacement therapy. Nursing Interventions: Monitor electrolytes, educate on stress management, emergency care for Addisonian crisis.
Adrenal Insufficiency
Symptoms: Fatigue, body aches, weight loss, low blood pressure. Treatment: Corticosteroids replacement, fludrocortisone for mineralocorticoid effects. Nursing Interventions: Monitor vital signs, educate on proper medication usage, stress-dose steroid education.
Multiple Endocrine Neoplasia Type 2 (MEN2)
Symptoms: Medullary thyroid cancer, pheochromocytoma, hyperparathyroidism. Treatment: Prophylactic thyroidectomy, monitoring and treatment for other components. Nursing Interventions: Genetic testing, education on symptoms of pheochromocytoma, perioperative care.
Diabetes Mellitus Type 1
Symptoms: Polyuria, polydipsia, polyphagia, weight loss, fatigue. Treatment: Insulin therapy, carbohydrate counting, exercise. Nursing Interventions: Blood glucose monitoring, insulin administration education, dietary planning.
Osteoporosis
Symptoms: Bone loss, fractures with little or no trauma, reduced height over time. Treatment: Calcium and vitamin D supplements, bisphosphonates, lifestyle modifications. Nursing Interventions: Fall risk assessment, bone density monitoring, patient education on medication adherence.
Acromegaly
Symptoms: Enlarged hands and feet, facial feature changes, arthritis, carpal tunnel syndrome. Treatment: Surgical removal of adenoma, medication to reduce growth hormone, radiation. Nursing Interventions: Pain management, monitoring glucose levels, patient education on treatment.
Hyperthyroidism
Symptoms: Weight loss, heat intolerance, tremors, palpitations. Treatment: Antithyroid medications, radioactive iodine, surgery. Nursing Interventions: Monitoring for thyroid storm, patient education on side effects, regular thyroid function tests.
Hyperpituitarism
Symptoms: Headache, visual disturbances, acromegaly, Cushing's disease. Treatment: Surgery, radiation therapy, medication to block hormone production. Nursing Interventions: Monitoring visual fields, hormone levels, and signs of hormone excess.
Cushing's Disease
Symptoms: Central obesity, moon face, hirsutism, purple striae. Treatment: Target underlying pituitary adenoma, medications, surgery. Nursing Interventions: Blood pressure and blood glucose monitoring, mental health support, post-operative care.
Primary Hyperaldosteronism (Conn's Syndrome)
Symptoms: Hypertension, muscle weakness, headache, polyuria. Treatment: Surgery or aldosterone antagonists. Nursing Interventions: Monitor blood pressure, electrolyte levels, provide patient education on medication adherence.
Thyroid Cancer
Symptoms: Nodule on thyroid gland, hoarseness, difficulty swallowing, neck pain. Treatment: Surgery, radioactive iodine, TSH suppressive therapy. Nursing Interventions: Pre-operative education, post-operative care, monitoring for recurrence.
Diabetic Neuropathy
Symptoms: Numbness, tingling in extremities, pain, sensitivity to touch. Treatment: Strict blood glucose control, pain management. Nursing Interventions: Patient education on foot care, pain management strategies, monitoring for wounds.
Hypopituitarism
Symptoms: Fatigue, decreased libido, amenorrhea, infertility. Treatment: Hormone replacement therapy. Nursing Interventions: Monitor hormone levels, patient education on treatment regimen, fertility counseling when appropriate.
Hyperglycemic Hyperosmolar State (HHS)
Symptoms: Extreme hyperglycemia, dehydration, altered consciousness, seizures. Treatment: IV fluids, insulin therapy, electrolyte replacement. Nursing Interventions: Close monitoring of blood glucose and hydration, neuro checks, prevent injury.
Graves' Disease
Symptoms: Goiter, exophthalmos, palpitations, anxiety. Treatment: Antithyroid drugs, radioactive iodine, surgery. Nursing Interventions: Heart rate monitoring, patient education on medication side effects, support for body image changes.
Prolactinoma
Symptoms: Galactorrhea, amenorrhea, infertility, decreased libido. Treatment: Dopamine agonists, surgical resection, radiation therapy. Nursing Interventions: Monitoring prolactin levels, fertility counseling, education on medication effects.
Insulinoma
Symptoms: Hypoglycemia, confusion, sweating, palpitations. Treatment: Surgical removal of the tumor, diet management. Nursing Interventions: Blood glucose monitoring, patient education on recognizing hypoglycemia, post-operative care.
Thyroid Storm
Symptoms: Extreme hyperthyroidism with fever, tachycardia, delirium, vomiting. Treatment: Antithyroid drugs, beta-blockers, supportive care. Nursing Interventions: Vital signs monitoring, cooling measures, preventing cardiovascular collapse.
Diabetic Foot Ulcer
Symptoms: Open sores on foot, infection, difficulty healing. Treatment: Wound care, antibiotics, offloading, possibly surgery. Nursing Interventions: Regular foot inspection, patient education on proper foot care, wound care management.
Hypothyroidism
Symptoms: Fatigue, weight gain, cold intolerance, constipation. Treatment: Levothyroxine replacement therapy. Nursing Interventions: Monitor TSH levels, patient education on medication adherence, managing symptoms.
Gestational Diabetes
Symptoms: Usually asymptomatic, detected via screening. Treatment: Dietary modifications, insulin therapy if necessary. Nursing Interventions: Blood glucose monitoring, education on diet and exercise, postpartum follow-up.
Pheochromocytoma
Symptoms: High blood pressure, pounding headache, sweating, palpitations. Treatment: Surgical removal of the tumor, alpha-blockers, beta-blockers. Nursing Interventions: Blood pressure monitoring, pre-surgical medication preparation, patient education on tumor symptoms.
Myxedema Coma
Symptoms: Severe hypothyroidism leading to decreased mental status, hypothermia, respiratory depression. Treatment: IV thyroid hormone replacement, supportive care. Nursing Interventions: Monitoring vital signs, maintaining airway, monitoring temperature.
Gigantism
Symptoms: Excessive growth in children, large hands and feet, facial feature changes. Treatment: Surgery to remove adenoma, growth hormone-inhibiting drugs, radiation therapy. Nursing Interventions: Support for psychosocial aspects, monitoring growth patterns, post-surgical care.
Goiter
Symptoms: Enlarged thyroid gland, difficulty swallowing or breathing, neck swelling. Treatment: Depends on cause, may include thyroid hormone replacement or surgery. Nursing Interventions: Assess for respiratory compromise, patient education on treatment options, monitoring for changes in size.
Rickets
Symptoms: Soft and weak bones in children, delayed growth, pain in spine, pelvis and legs. Treatment: Vitamin D and calcium supplementation, correction of underlying causes. Nursing Interventions: Monitoring growth and development, education on nutrition, physical therapy for skeletal deformities.
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