Adrenal Gland Function Flashcards

1
Q

describe the two part structure of the adrenal gland

A

the adrenal gland consists of the cortex and medulla which are two functionally and structurally different tissues

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2
Q

summarize the hormone pathway from the anterior lobe of the pituitary to through the adrenal gland

A

anterior pituitary releases ACTH which acts on the adrenal medulla which then releases epi/norepi (medulla) or glucocorticoids (cortisol)

*ACTH has + feedback, cortisol has - *

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3
Q

what are the 3 zones of the adrenal cortex?

A
  1. zona glomerulosa: secretes mineralcorticoids (salt)
  2. zona fasciculata: glucocorticoids (steroids)
  3. zona reticularis: androgen (sex)
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4
Q

the medulla is responsible for release of what?

A

catecholamines (norepi and epi)

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5
Q

cortisol release effects

A
  • regulates macronutrient metabolism
  • maintains GI structure
  • maintain normal BP
  • adaptation to stress
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6
Q

Aldosterone effects

A

sodium retention, K excretion, H ion excretion

aldosterone increases sodium absorption and increased potassium secretion from the kidneys, sweat glands, salivary glands, and GI epithelial cells

extracellular fluid volume control

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7
Q

catecholamines effects

A

vasoconstriction
increased HR and contractility
vasodilation of smooth muscles

glycogenolysis, gluconeogenesis, lipolysis, increased metabolic rate

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8
Q

what layers of the cortex are effected in hypoadrenocorticism?

A

zona gomerulosa and fasciculata causing cortisol and mineralcorticoid deficiency

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9
Q

adrenal tumor cortical

A

hyperaldosteronism, excess aldosterone (hypertension)

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10
Q

adrenal tumor medulla

A

pheochromocytoma
excess and episodic release of catecholamine

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11
Q

what would excess epinephrine cause

A

elevated glucose and secondary DM

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12
Q

what would excess norepi cause

A

hypertension, retinal hemorrhage, and splenic contraction

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13
Q

aldosterone release is mediated by __

A

RAAS system and potassium concentrations

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14
Q

synthesis and release of glucocorticoids from zona fasciculata are dependent upon what?

A

ACTH from the pituitary

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15
Q

adrenal medulla cells release catecholamines in response to what?

A

stress, pain, injury and fear

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