Ch. 16 ENDOCRINE Flashcards
What is the stimulus for GH (growth hormone) release?
GHRH (growth hormone releasing hormone)
What is giantism?
Hypersecretion of GH as a child
What is acromegaly?
Hypersecretion of GH as an adult
What is dwarfism?
Hyposecretion of GH as a child
What is the function of PRL (prolactin)?
⬆️ milk production
What is PRL’s control of release?
PRH (prolactin releasing hormone)
PIH (prolactin inhibiting hormone)
What is the function of TSH (thyroid stimulating hormone)?
Stimulate the thyroid gland
⬆️ T3,T4
What is the function of ACTH
Stimulate the adrenal cortex
⬆️ cortisol
⬆️ aldosterone
What is the function of FSH?
Stimulate the development of ovarian follicles, ⬆️ estrogen
Spermatogenesis
What is the function of LH?
Stimulate ovulation
ICSH- ⬆️ testosterone
Why are ACTH, LH, FSH, TSH tropic hormones?
Because they stimulate other hormones.
What are the functions of ADH?
⬆️ H2O reabsorption
Vasoconstriction
What is the stimuli for ADH?
⬆️ plasma osmolarity
⬇️ BP
What are osmoreceptors?
They sense an increase in osmolarity and stimulate the release of ADH
What is diabetes insipidus- neurogenic and nephrogenic?
ADH deficient.
Neurogenic is inability to produce ADH
Nephrogenic is ability to produce ADH, but not responsive to it
What are the symptoms of diabetes insipidus?
Copious amounts of dilute urine. Specific gravity will be low.
What is the function of oxytocin?
Milk ejection
Uterine contraction
What is the stimuli for Oxytocin ?
Suckling
Stretching of the uterus
What is the structure of the thyroid glands? What are thyroid follicles made of?
2 lobes connected by isthmus
Follicles are 1 layer of cuboidal epithelium + colloid
What element is required for thyroid hormone synthesis?
Thyroglobin
What is produced in C cells?
Calcitonin
What are all of the functions of T3, T4?
⬆️ metabolic rate ⬆️ heat production Normal hydration of skin Important in tissue development ⬆️ adrenergic receptors in blood vessels
What does calorigenic mean?
Increased heat production
What are the symptoms of hypothyroidism?
Myxedema (puffiness of face and hands) Cold Weight gain Sluggish ⬇️BP Dry sin
What is a cause of hypothyroidism?
Blow to the neck, low iodine intake, surgical removal of thyroid gland
What is treatment for hypothyroidism?
Synthroid- synthetic T3, T4
What is a goiter?
Enlargement of the thyroid gland due to elevated TSH
What is cretinism and symptoms?
Hypothyroidism in fetus. Symptoms are shortness, retardation, thick tongued
What is Graves’ disease? Symptoms? Treatment?
Hyperthyroidism- occurs when mimic of TSH is produced
Symptoms are exopathalamus (bulging eyes), weight loss, ⬆️ BP, ⬆️ HR, sweaty
Treatment would be removal of thyroid gland or drink radioactive iodine
What is the function of calcitonin?
⬇️ blood calcium levels by ⬇️ osteoclasts activity
⬇️ blood phosphate levels
What is the stimulus for calcitonin? and what are its target organs?
⬆️ blood calcium levels
Bones and kidneys are target organs
What are the functions of PTH and its control of secretion?
⬆️ blood calcium level
⬇️ blood phosphate levels
The control of secretion hypocalcemia/ ⬇️ blood calcium
Name the 3 target organs for PTH and its effects
- Kidney- PTH promotes the activation of vitamin D, ⬆️ calcium reabsorption at the DCT
- Skeleton- PTH ⬆️ osteoclast activity
- Intestine- vitamin D ⬆️ Ca+2 absorption
What are symptoms of hyperparathyroidism?
⬆️ excitability of neurons —– muscle tetany —–convulsions
What is the structure of the adrenal cortex?
Divided into the cortex and medulla
What are the 3 layers of the cortex and what hormones are produced there?
- Zona glomerulosa- aldosterone
- Zona fasiculata- cortisol
- Zona reticularis- androgens/ sex hormones
What are the functions of aldosterone?
⬆️ Na+ reabsorption
⬆️ K+ secretion
⬆️ water reabsorption
⬆️ BV and BP
What are the stimuli for aldosterone?
- renin-angiotensin system
- low levels of Na+, high levels of K+
- ACTH
What hormone inhibits aldosterone release?
ANP
What is the function of glucocorticoids- cortisol?
- ⬆️ blood glucose thru gluconeogenesis (carbohydrates—glucose)
- ⬆️ lipolysis
- ⬆️ protein break down
- sensitize blood vessels to vasoconstrict–⬆️BP
- anti-inflammatory
What is Cushing’s Disease? Causes? Symptoms?
Hypersecretion of glucocorticoids/cortisol. Causes ACTH- releasing pituitary tumor, tumor of adrenal cortex. Symptoms include: hyperglycemia, loss of muscle and bone protein, hypertension, moon face, “buffalo hump”, enhanced inflammatory effects
What is Addison’s Disease? Causes? Symptoms?
Hyposecretion of cortisol. Causes include defect of the adrenal gland (primary disorder), or decreased ACTH secretion (secondary disorder). Symptoms include:⬇️ Na+ levels, ⬆️ K+ levels, dehydration, hypotension, ⬇️ blood glucose, bronzing of skin
What is treatment of Addison’s Disease?
Hydrocortisone and fludrocortisone
Why does skin bronze in Addison’s Disease?
Because there is an increase in MSH which is part of the POMC molecule that contains ACTH which too increases
What is the function of gonadocorticoids?
May contribute to puberty
What cells produce epinephrine and norepinephrine?
Chromaffin cells
What is the DIRECT stimulus for epi/norepi?
SNS nerves
What are the functions of epi/norepi?
⬆️ HR, ⬆️ BP, ⬆️ glucose metabolism, ⬆️ respiratory rate, ⬆️ alertness, ⬇️ digestive activity
What are the functions of glucagon?
⬆️ blood glucose levels
i. gluconeogenesis (noncarbohydrates—glucose)
ii. glycogenolysis (glycogen—glucose)
What is the stimulus for glucagon?
⬇️ blood glucose
What are the functions of insulin?
⬇️ blood glucose
i. glycogenesis (glucose—glycogen)
ii. protein sunthesis
iii. lipogenesis
What is the stimulus for insulin?
⬆️ blood glucose levels
What are the symptoms of Diabetes Mellitus?
Hyperglycemia, polydipsia, polyphagia, polyuria, ⬆️ weight loss, metabolic acidosis, ketonuria.
Type I- insulin independent
Type II- insulin independent
What hormones deal with BP?
ADH, aldosterone, Epi/Norepi, T3 and T4
What hormones would relate to pregnancy?
FSH, LH, Oxytocin, TSH, PRL, T3 and T4,
What hormones deal with electrolytes?
Aldosterone, ACTH
What hormones are involved in stress?
TSH, T3 and T4, Cortisol
What hormones are hyperglycemic?
cortisol, glucagon, GH, ACTH
Name the 5 lobes produced and released from the anterior pituitary
TSH, GH, PRL, ACTH, FSH, LH
What are the indirect effects of GH?
GH stimulates liver to release insulin like growth factors—-⬆️ skeletal growth, ⬆️ protein synthesis
What are the direct effects of GH?
Metabolic. Fat—⬆️ lipolysis, Carbohydrates—⬆️ blood glucose levels