Chvostek and Trousseau Signs suggest hypocalcemia

• POLYCYSTIC OVARIAN DISEASE (Stein-Leventhal syndrome, PCOD): amenorrhea, obesity, hirsutism, elevated LH:FSH ratio (>3)

MEN 1

MEN 2A

(Wermer Syndrome)

(Sipple Syndrome)

MEN 2B

PPP

PPT

PNT

Pituitary adenoma

Parathyroid hyperplasia

Pheochromocytoma

Pancreatic islet cell tumor

Pheochromocytoma

Neuromas

Parathyroid hyperplasia

Medullary Thyroid cancer

Medullary Thyroid cancer

3II

HOMONYMOUS HEMIANOPSIA

Occipital lesions secondary to AIDS, herpes, tumor

DIABETES INSIPIDUS (DI)

Increased serum sodium Decreased urine osmolality

• A man with gynecomastia + small testes + tall stature + female hair distribution: think KLINEFELTER SYNDROME

• A patient with pigmented mucosa of the gums + hypokalemia + pigmentation of skin creases: think ADDISON'S DISEASE

• Hypogonadism + anosmia: KALLMAN SYNDROME

• PHEOCHROMOCYTOMA: Rule of 10's: bilateral, malignant, extraadrenal, familial, children

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