Adrenal Gland Histology Flashcards

1
Q

blood supply to suprarenal gland and branches from what

A

superior suprarenal gland from inferior phrenic a
middle suprarenal gland from abdominal aorta
inferior suprarenal gland from renal a

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2
Q

the cortex of adrenal glands is of what origin and develops from what

A

mesodermal origin and develops from epithelium of posterior abdominal wall

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3
Q

medulla is of ___ origin and is from what cells

A

ectodermal origin and develops from neural crest cells

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4
Q

by week __ you have two layers of cortex what are they

A

8, thin outer adult cortex, and thick inner fetal cortex

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5
Q

what does the fetal cortex produce

A

fetal steroids during gestation but involutes rapidly after birth

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6
Q

adrenocortical rests

A

in 50% of newborns, tend to atrophy and disappear, cna be detected anywhere along path of embryonic migratin of adrenal cortex

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7
Q

accessory adrenocortical nodules are what

A

minor developmental anomalies arising from partly or completely detached rests of coelomic epithelial primordia from which the adrenal cortex is derived

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8
Q

where are accessory adrenocortical nodules most frequently located

A

in contact with the capsule at one pole of adrenal

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9
Q

the definitive adult cortex persists and develops into the functional adrenal cortex with distinct ___ and ___ the ___ develops during first year of life

A

zona glomerulosa and gasciculata

reticularis develops after birth

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10
Q

medullary elements derived from NC cells migrate to where and develop along with what

A

to para-aortic and paravertebral regions and along adrenal vein toward medial aspect of developing adrenal fetal cortex

develop along with sympathetic nervous system

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11
Q

what is produced in the early stage of gestation by the fetal cortex that is converted to estrogen in the placneta? what enzyme does this

A

DHEA

3B-Hydroxysteroid dehydrogenase

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12
Q

what is the onlymiled form resulting from incomplete loss of 3B HSD produces what

A

virilization of genetically female infants and undervirilization of genetically male infants

  • only form of congenital adrenal hyperplasia that can cause ambigous genitalia in both genetic sexes
  • this is rare
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13
Q

glucocorticoids come from where for fetus

A

placental progesterone by fetus or of maternal origin

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14
Q

glucocorticoids are essential for 3 main developmental events:

A

1) production of surfacant by type II alveolar cells after 8th month of fetal life
2) development of a functional hypothalamopituitary axis
3) inuction of thymic involution

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15
Q

zona glomerulosa produces what in response to___ and __

A

aldosterone in response to ACTH and angiotensin II

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16
Q

what enzyme does the zona glomerulosa lack

A

17a-hydroxylase, cannot produce glucocorticoids or androgens

17
Q

what does aldosterone sitmulate the secretion of

18
Q

describe zona glomerulosa cells

A

lie under capsule, aggregate into glomerulus like arrangement and have a moderate amount of lipid droplets in the cytoplasm

19
Q

describe zona fasiculata cells

A

spongiocytes, many lipid droplets of cholesterol (precursor) in cytoplasm

cells appear vacuolated (foamy appearance)

cuboid cells arranged in longitudinal cords separated by cortical fenestrated capillaries

20
Q

what enzyme is required to make the sex hormones

A

17,20 hydroxylase

21
Q

where is cortisol converted into cortisone

A

in the hepatocytes

22
Q

zona fasciculata and reticularis are both stimulated by what?

23
Q

describe zona reticularis cells

A

arranged in irregular cords that from anastomosing network

24
Q

in zona reticularis what 2 androgens predominant as weak androgens? and what can they be converted to?

A

DHEA and androstenedione

convert to testosterone and even estrogen in peripheral tissues

25
describe chromaffin cells
- cells of adrenal medulla | - modified sympathetic postganglionic neruons without postganglionic axons
26
what is the adrenal medulla innervated by?
sympathetic preganglionic fibers that release Ach
27
catecholamines effect on: - Blood vessels supplying cardiac and skeletal muscle - Bronchioles - Blood vessels supplying GI tract, kidneys, skin
BV cardiac and skeletal muscle: dilation Bronchioles: dilation BV of GI tract etc: constriction
28
Blood supply of adrenal gland: all 3 sources enter adrenal gland capsule and form ___
arterial plexus
29
3 components of arterial plexus
short cortical artery: feeds glomerulosa-->ZF-->ZR-->and drains to medulla long cortical artery: goes straight to the medulla subcapsular plexus: supplies the capsule
30
conn's syndrome
tumor of ZG that excessively secretes aldosterone
31
cushings disease causes an increase in production of what
aldosterone, cortisol, and adrenal androgen production
32
addison's disease lose what
cortisol: cause muscle weakness mineralocorticoids: hypotension and circulatory shock