Chapter 10 - Endocrine Flashcards

1
Q

Produces hormones that control many
functions of other endocrine glands;
“master gland”.

A

Pituitary gland

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2
Q

Produces hormones that
regulate metabolism,
help maintain normal
blood pressure, heart
rate, digestion, muscle
tone, and reproductive
functions

A

Thyroid gland

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3
Q

Produces hormones that
play a role in regulating
calcium levels in the
blood and bone
metabolism

A

Parathyroid gland

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4
Q

Cortex (outer layer)- produces
corticosteroids, which regulate the
body’s metabolism, salt/ water balance,
the immune system, and sexual function.

A

Adrenal gland

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5
Q

cortex
layer?

A

outer layer

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6
Q

Medulla (inner layer)- produces
hormones, which help the body cope
with physical/ emotional stress by
increasing the heart rate/ blood pressure
(fight or flight hormones).

A

Adrenal gland

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7
Q

medulla

A

inner layer

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8
Q

Produces a hormone which helps regulate thewake-sleep cycle of the body

A

Pineal gland

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9
Q

Produces hormones that regulate the level
of glucose (sugar) in the blood

A

Pancreas

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10
Q

this system regulates hormone levels in the
body. When the body detects that an
adequate level of hormone is in the body
it stops the production of more
hormone.

A

Negative Feedback mechanism

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11
Q

Dysfunction of the adrenal cortex which leads to an excess production of glucocorticoids.

A

Cushing’s Syndrome

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12
Q

Sx:
* Moon-shaped face
* Reddened skin characteristics
* Fat pads behind the shoulder (Buffalo hump)
* Obesity
* Hypertension
* Too much or too little sex hormone (facial hair on female)

A

Cushing’s Syndrome

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13
Q
  • CT/ MRI/ US- Enlargement of the adrenal glands or tumor. CT shows thickening of the wings.
  • Radiographs:
    o Osteoporosis
    o Aseptic necrosis (head of humerus or femur)
    o Adrenal tumors
A

Cushing’s Syndrome

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14
Q

A tumor commonly arising in the adrenal medulla. Produces an excess of epinephrine & norepinephrine.

A

Pheochromocytoma

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15
Q
  • Hypertension
  • Rapid heart rate
  • Sweating
  • Abdominal pain
A

Pheochromocytoma

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16
Q

Surgical removal

A

Pheochromocytoma

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17
Q
  • CT/ US: most frequently used to localize the tumor- appear as oval masses
A

Pheochromocytoma

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18
Q

A tumor originating in the adrenal medulla. (Affects children more than adults)

A

Neuroblastoma

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19
Q

Sx:
* Fever
* Malaise
* Pain

A

Neuroblastoma

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20
Q
  • Calcification of the adrenal medulla takes on a fine, granular appearance.
  • IVU: Downward displacement of the affected kidney
  • US/ CT/MRI- mass effect
A

Neuroblastoma

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21
Q
  • Surgery
  • Chemotherapy
  • Radiation therapy
A

Neuroblastoma

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22
Q

US is modality of choice

A

Neuroblastoma

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23
Q

Has a good prognosis.

A

Neuroblastoma

24
Q

Excess secretion of growth hormone that is produced by either a tumor or an enlarged anterior lobe.

A

Hyperpituitarism

25
Tx: * Remove the tumor (if able) o Remove through the nose * Medications to decrease hormone levels
Hyperpituitarism
26
occurs before bone growth stops in children
Gigantism
27
enlarged skeleton
Gigantism
28
occurs after bone growth has stopped.
Acromegaly
29
widened joints, thickened heel pads, enlarged skull bones, enlarged sinuses, thickened mandible.
Acromegaly
30
MRI – used to detect & locate pituitary tumors. ★ (thin sliced so nothing is missed)
Hyperpituitarism
31
Insufficient secretion of pituitary hormones
Hypopituitarism
32
Apperance: * Small skeleton * MRI – used to detect pituitary tumor
Hypopituitarism
33
Tx * Surgery * Hormone replacement – synthetic growth hormone.
Hypopituitarism
34
Excessive production of thyroid hormone, most commonly caused by Grave’s disease, but also adenomas.
Hyperthyroidism
35
* Nervousness * Enlarged thyroid gland (goiter) * Exophthalmos (enlarged eyes) * Insomnia * Excessive sweating * Hyperactivity * Weight loss
Hyperthyroidism
36
* Radioactive iodine scans: o generalized enlargement of the thyroid gland o increased uptake in iodine (only part of body that uses iodine)
Hyperthyroidism
37
* Medication management * Radioactive iodine * Surgical resection
Hyperthyroidism
38
Structural or functional abnormality that results in a deficiency of the thyroid hormone.
Hypothyroidism
39
Tx: * Tumor: o Surgery o Chemotherapy o Radiation Therapy o HRT
Hypothyroidism
40
o Cretinism- short stature o Protruding tongue o Broad, flattened nose o Widely set eyes.
Hypothyroidism - Children
41
o Lethargy o Cold intolerance o Somnolence (excessive sleep) o Weight gain o Personality changes
Hypothyroidism - Adults
42
o Delay in growth characteristics, inc. skull thickness, widened sutures
Hypothyroidism - Children
43
o Enlarged heart o Soft tissue thickening in extremities o Adynamic ileus ★★
Hypothyroidism - Adults
44
Neoplasms of the thyroid
Thyroid Carcinoma
45
* Radioactive iodine scans: ★ gold standard o Nodule that does not fill with contrast (a “cold” spot) – not filling in with contrast
Thyroid Carcinoma
46
* Surgical removal ★ (thyroidectomy) ★ Synthroid * Radioactive iodine
Thyroid carcinoma
47
most common, slow growing, cystic tumor, metastasizes via the lymphatic system. (Affects adolescents & young adults.
Papillary
48
closely resembles normal thyroid tissue, metastasizes hematogenously through out the blood. (★Affects women over 40)
Follicular
49
Excess secretion of the parathyroid hormone (PTH).
Hyperparathyroidism
49
least common, producing dense calcifications w/i the tumor, metastasizes via the lymphatic system.
Medullary
50
usually a result of an adenoma, carcinoma or hyperplasia of the parathyroid.
Primary Hyperparathyroidism
51
more common, occurs as a result chronic renal failure
Secondary Hyperparathyroidism
52
* Radiographs o Subperiosteal bone resorption, loss of bone density (“ground-glass”)
Hyperparathyrodism
53
* Glandular dissection * Medication therapy
Hyperparathyroidism
54
A deficiency in the parathyroid hormone.
Hypoparathyroidism
55
Hypoparathyroidism