qq - syndrome

[ArchivalUser]

how will u diff b/w following
1)surreptitious vomiting
2)diuretics abuse
3)bartter's syndrome

[ArchivalUser]

how will u diff b/w following,Pt is diabetic on insulin(reg+NPH)
1)Somogyi effect
2)waning of insulin dose
3)Dawn phenomenon

[ArchivalUser]

how will u diff b/w following,Pt is diabetic on insulin(reg+NPH)
1)Somogyi effect
2)waning of insulin dose
3)Dawn phenomenon

[ArchivalUser]

Surreptious Vomiting ---------> Low urine chloride (< 20 mg/dl)
Diuretic abuse & Barterr syndrome --------> High urine chloride

Diuretic abuse -----> H/o Diuretic use
Barterr Syndrome ------>No h/o

Common to all ------> hypokalemia, Alkalosis .Normotensive.

[ArchivalUser]

PHENOMENON --------------3AM (Glu)------------10 AM (Glu)

Somogyi effect ------------ low ----------------high

Dawn phenomenon --------normal ------------high

Waning of insulin dose------high --------------high