3 of the 5 following traits required for diagnosis of metabolic syndrome
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1. Waist circumference greater than or equal to 40 inches in men or 35
inches in women
2. Serum triglycerides > 159 mg/dL or drug treatment for elevated
triglycerides
3. serum HDL <40 in males or <50 in females or drug treatment for low HDL
4. BP > 130/85 or drug treatment for elevated BP
5. Fasting plasma glucose > 100 mg/dL or drug treatment for elevated BG
when to add prandial insulin
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, 3 months of basal insulin and still not at fasting glucose target
If TSH elevated to >10 and T4 normal...
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treat with levothyroxine
hyperthyroid exam findings
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palpable goiter
bulging eyes 'pretibial myxedema
orange peel appearance lower extremities
vitiligo
blurred vision, dry eye
thyroid bruit
vascular effects of sustained HTN
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bruits in carotid, aorta, renal arteries
thyroid storm symptoms
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Fever (>103), tachycardia, tachypnea, dehydration, profuse sweating,
agitation, delirium, psychosis, coma
moderate intensity statin
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atorvastatin 10-20mg
fluvastatin 40 mg 2x/day, XL 80 mg
Lovastatin 40-80 mg
Pitavastatin 1-4mg
Pravastatin 40-80mg
Rosuvastatin 5-10mg
Simvastatin 20-40mg
HHS labs
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sugar range 600s+
pH higher than 7.3
Bicarb greater than 15
diabetic nephropathy screening
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1. Waist circumference greater than or equal to 40 inches in men or 35
inches in women
2. Serum triglycerides > 159 mg/dL or drug treatment for elevated
triglycerides
3. serum HDL <40 in males or <50 in females or drug treatment for low HDL
4. BP > 130/85 or drug treatment for elevated BP
5. Fasting plasma glucose > 100 mg/dL or drug treatment for elevated BG
when to add prandial insulin
Give this one a try later!
, 3 months of basal insulin and still not at fasting glucose target
If TSH elevated to >10 and T4 normal...
Give this one a try later!
treat with levothyroxine
hyperthyroid exam findings
Give this one a try later!
palpable goiter
bulging eyes 'pretibial myxedema
orange peel appearance lower extremities
vitiligo
blurred vision, dry eye
thyroid bruit
vascular effects of sustained HTN
Give this one a try later!
bruits in carotid, aorta, renal arteries
thyroid storm symptoms
, Give this one a try later!
Fever (>103), tachycardia, tachypnea, dehydration, profuse sweating,
agitation, delirium, psychosis, coma
moderate intensity statin
Give this one a try later!
atorvastatin 10-20mg
fluvastatin 40 mg 2x/day, XL 80 mg
Lovastatin 40-80 mg
Pitavastatin 1-4mg
Pravastatin 40-80mg
Rosuvastatin 5-10mg
Simvastatin 20-40mg
HHS labs
Give this one a try later!
sugar range 600s+
pH higher than 7.3
Bicarb greater than 15
diabetic nephropathy screening
Give this one a try later!
