4 - Endocrine control of growth and disorders of growth Flashcards

1
Q

what are the 4 factors that control growth

A

genetics, nutrition, hormones

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2
Q

what are teh main hormones that effect frowth

A

gh
igf 1
thyroid horome
sex teroids
insulin

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3
Q

what is the antatgoin gorwht hornmone

A

cotrisol

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4
Q

when do sex steriods mainy start

A

puberty

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5
Q

what are the 2 periods of rapid growth in humans

A

infancy - first 8 - 10 months of life
puberty

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6
Q

why is there rapid growth in infacny

A

, this is largely controlled by nutritional intake
due to growth hormen

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7
Q

why is there a spike in growth in puberty

A

androgens and oestrogen, this produces spikes in gh and igf - 1 hormone

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8
Q

effect of sex hormoens on long bone

A

terminate growtgh in epiphyes of long bone by sex hormone
gh, igf- 1 also cause long bone elongation

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9
Q

when do thyroid hormes mainly effect gorwth

A

early years,

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10
Q

when does growth horme effect growth

A

constantly throughout

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11
Q

when do androgens and eostrogen effect gorwoth

A

mostly in later years

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12
Q

what are teh hormes for intrautrien growth

A

inulin, thryoid horme, igf 2

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13
Q

what is congential hypothyrodis

A

where babeis ar born a nroal size but can’t produ theirown thryoid hormes

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14
Q

wht does a child lok like with low th

A

metal retardation
infnatile propaiton

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15
Q

effect of nrmal gh and low th

A

adult prpption
dwarthism
normal distriioinof mass
short staure

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16
Q

name of gh

A

somatotropin

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17
Q

what cells is growth hormone relased from

A

somatostatin cells

18
Q

what hormes control gh

A

growth hormone inhibiton hormone
growth hormone releasing horone

19
Q

what other horone does gh need

A

insulin and thryoid horme in a permissve fashion

20
Q

what kind of receptor does gh work on

A

tyrosine kinase

21
Q

what are teh action of gh

A

regualtion of metabolim
growth of long bones with igf 1
increases glucogeneis by liver
redues the abiltiy of insulin to stimalre glucose by mcuel and adipose tisseus
maeks adipoces more censeitee to lipolyic stimuli
increase amino acid uptake and preoin syntehsi in almost all cells

22
Q

what other homees is igf - 1 like

A

insulin as it cuaess glucose uptake in to mucel and bone

23
Q

where if igf 1 from

A

liver in respone to gh relases

24
Q

where is igf 2 found

A

feotus and neonate

25
what type of hromeon are gh and igf
peptide
26
how do gh and igf travel in blood
bound to a carrier prtien
27
what percent of gh is bound
50% to provide a respovier of gh preventing over exertion in urine and prolonging half life
28
how does ig effect gorwth hormeon
inhibeis ghrn and stimuates ghih
29
main tissue benifited by gh
bone and brain
30
when is gh maily relaed in the day
firts 2 hours of sleep , during deep sleep very little relase in waking hours
31
how does igf 1 change during hours
very little due to having a 20hr half life
32
what increase ghrh
decrea in energy supply in cells inlcing cold weather, exercies, increased amounts of amin acids in plasma, proatin proein sytemh by liver and mucles physical stress and illenss delta sleep oestral and tesotargle - this also prevent igf negative feedbac
33
what are teh stimuli for ghih
glucose ffa ageing cortisol
34
what are conditions of hypersection of gh hormes
gigantism acromegaly
35
what is gigantism
xs gh due to pituatroy tumuor befor epipheal plates of long bones close
36
what is acromegaly
xs gh due to pitalary turmou after the epipseal plates close
37
what are teh signs of acromegaly
bigger feet and hands, and faicl features
38
what rae caues of hypo section
deffecty in ghrm - hypothalmic origin defiecy in gh - pituatary origin genetic mutations - depress downsrea realse of ig 1 and periap tissues cannot respon to teh growth siganl preconcious puberty sex gnrh stimalus puberty by promating sex hormone relase hypothryoid dwarfism -
39
feastues of hypothyroid dwarfism
retain infalie feaue with stund growth
40
effect of gestation diabes on babes
cause them to be large as it cuase them to anabos by feoal insulin