BLock 8 Flashcards
What is an importnat consideration for diabetic nephropathy?
Loss of proteins such as antibodies in the kidneys to increase infection suscpetiblity
What causes the uterus to contract?
Prostaglandin.
Which hormone increases during stress?
Cortisol and glucagon. Glucagon increases glucose availability for the sympathetic activation.
What is the effect of cortisol and glucocorticoids on thyroid hormones?
Decreases thyroid hormones to direct energy to metabolism
Korsakoff’s syndrome
Anterograde and retorgrade amnesia caused by damage to hypothalamus and thalamus and B1/thiamine deficiency
Which receptors does dopamine effect?
B1 agonist that causes chornoropy, inotopry, increases BP and alpha 1 agonist that causes vasoconstriction
Obturator nerve
Supplies adductor longus
Nerve medially on thyroid gland, between oesophagus and trachea
Reccurrent laryngeal nerve
Superior thyroid artery
Branch of external carotid artery
Effect of insulin
Stimualtes Na+/K+ ATPase pump.
Where is proinsulin formed?
RER of pancreatic beta cells
Test for Addison’s disease
Synacthen test
How does cortisol travel in the blood?
It is lipophilic and bound to cortisol binding globulin
WHat stimulates insulin release?
Gastric acid inhibitors, beta agonists, amino acids, fatty acids, glucose, vagal nerve
Effect of glucagon?
Increases somatostatin release
Effect of insulin
Decreases somatostatin reease
Effect of somatostatin
Decreases glucaogn and insulin
What is the rate limiting step in steroid hormone formation?
Conversion of chlesterol to pregnenolone
Acute phase of injury
Increased proteloysis, fevere, reduction in WBC, reduced transport protein s
Insulin synthesis
Preproinsulin is synthesised in the nucleus. Pre-pro insulin is cleaved in the RER to form proinsulin. Proinsulin enters Golgi body and by action of endopeptidases, releases a C-peptide fragment.
What stimulates prolactin release of the pituitary gland?
Thyrotropin releasing hormone and PRH that act on ammotrophs
Effect of growth hromone?
Increases glycogenolysis, lipolysis + ketogenesis, stimulates protein synthesis, hypertension,
Effect of insulin
Increases Na+.K+ ATPase pump when binding to receptors which causes hypokalemia in excess. In severe insulin deficiency, there is hyperkaelia
Most abundant cell type in anterior pituitary gland
Somatotrophs
Least common cell in adrenohypophysis
thyrotrophs