endoqs - dubu

[ArchivalUser]

Hey dubu good questions can u pls post the explanantion to these bother Thanx

[ArchivalUser]

hi.guest and arrythmia !!
1) Facial flushing and pruritus are common side effects of nicotinic acid. Nicotinic acid often is used for treatment of dyslipidemia, as it can modestly decrease LDL-cholesterol while increasing HDL-cholesterol. Flushing, pruritus, and gastrointestinal side effects commonly cause patients to discontinue treatment. Slowly titrating the dose, taking the medication with meals, and taking an aspirin or antihistamine at least 30 minutes before the medication can minimize these side effects. Additionally, long-acting formulations, as opposed to short-acting forms (choice A), are associated with less flushing.

2)Patients with acromegaly are more prone to developing colon cancer than the rest of the population, so monitoring with regular colonoscopies is advised in patients diagnosed with acromegaly.

3)The most common causes of hypopituitarism usually relate to a neoplasm or a complication of a neoplasm, such as subsequent surgery or radiation. The manifestations depend on several factors, including the patient™s age, the cell types affected, and the severity of each deficiency. Possible problems include secondary adrenal insufficiency, central hypothyroidism, gonadatropin deficiency, growth hormone deficiency, and prolactin deficiency. This patient is at risk for developing any of these complications after her surgery. The most dangerous immediate problem is acute adrenal insufficiency, and thus glucocorticoids are the treatment of choice. Because cortisol levels and response to ACTH stimulation may need to be tested, dexamethasone is preferable hydrocortisone
(choice D) is converted in the body to cortisol and would interfere with cortisol measurement. Hypothyroidism can be one of the manifestations of hypopituitarism; some of this patient™s manifestations are likely due to hypothyroidism. Even in severe cases of hypothyroidism, however, if there is any suspicion for adrenal insufficiency glucocorticoids should be administered first because thyroid replacement (choice E) can cause exacerbation of adrenal insufficiency.

[ArchivalUser]

thanks dubu...GL

[ArchivalUser]

1b?

[ArchivalUser]

thnx dubu