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Symptoms & History
Physical Findings
Stop & Think
Lab and X-Ray
Differential Diagnosis
The Disease
Treatment
Conclusions
Quiz & Evaluation
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Paraneoplastic endocrinopathies continued.
Inappropriate ADH
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Seen with small cell carcinoma of the lung and a rarely with intracranial
tumors.
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Water retention and hyponatremia due to excess ADH.
Hypoglycemia
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Production of insulin and insulin-like substances.
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Fibrosarcoma and hepatocellular carcinoma.
Carcinoid
syndrome
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Diarrhea, palpitations, wheezing, facial flushing, valvular heart disease.
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Excess serotonin, bradykinin and possibly histamine.
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GI carcinoids, pancreatic cancers and bronchial adenomas.
Anything else
?
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