Adrenal glands Flashcards

1
Q

What are the adrenal glands also called?

A

Suprarenal glands

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2
Q

Where are they found?

A

On the superior pole of each kidney

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3
Q

Name the zones of the cortex

A

Zona glomerulosa
Zona fasciculata
Zona reticularis

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4
Q

What does the zona glomerulosa produce?

A

Mineralocorticoids (eg aldosterone). Closely packed small cells in contact with capsule

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5
Q

What does the zona fasciculata produce?

A

Glucocorticoids (eg Cortisol). Large cells in parallel cords.

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6
Q

What does the zona reticularis produce?

A

Androgens (eg testosterone). Small darkly stained

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7
Q

What does the adrenal medulla produce?

A

Contains chromaffin cells that produce NA and adrenaline

Effectively modified sympathetic postganglionic neurones

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8
Q

Describe the adrenal medulla

A

Pale stained chromaffin cells (NA & A) and thin walled sinusoid blood vessels

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9
Q

How does the cortex influence the medulla?

A

Glucocorticoids from the cortex pass into the blood stream and enter the medulla via sinusoids. Can affect production of adrenaline.

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10
Q

Describe the blood supply to the adrenal glands

A

3 branches from:
Inferior phrenic a.
Lateral branch of abdominal aorta
Renal artery

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11
Q

Where does the suprarenal vein drain from and to?

A

From medulla to renal vein on L and inferior vena cava on R

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12
Q

Lymphatic drainage of adrenal glands?

A

Para-aortic nodes

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13
Q

Sympathetic innervation from:

A

T10-L1 in greater splanchnic nerve-> suprarenal plexus

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14
Q

What layers must you pass through to reach the suprarenals posteriorly?

A

Erector spinae& paravertbral fascia, quadratus lumborum, paprnephric fat, renal fascia, perinephric fat

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15
Q

Whats another word for the sympathetic chain?

A

Paravertebral ganglia

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16
Q

Benign tumours of the cortex could produce which syndromes?

A

Hyperaldosteronism (Conn’s)
Cushing’s -> dwarfism (less GH)
Hypertestosteronism

17
Q

What is phaeochromocytoma?

A

Hyperactivity of SNS du to tumour of adrenal medulla. Hypertension, tachycardia, palpitations, headaches, ↑blood glucose and excessive sweating