Clinical Endocrinology Flashcards
Action of GnRH
Stimulates release of FSH and LH
Action of CRH
Stimulates release of ACTH
Action of TRH
Stimulates release of TSH
Action of GhRH
Stimulates release of GH
Action of Somatostatin
Inhibits release of GH and TSH
Action of Dopamine (Prolactin-Inhibiting Factor)
Inhibits release of Prolactin
Connects the hypothalamus and pituitary gland
Infundibulum
[Anterior Pituitary] Cells that secrete GH
Somatotrophs
[Anterior Pituitary] cells that secrete PRL
Lactotrophs
[Anterior Pituitary] cells that secrete TSH
Thyrotrophs
[Anterior Pituitary] cells that secrete FSH and LH
Gonadotrophs
[Anterior Pituitary] cells that secrete ACTH
Corticotrophs
Target tissue of FSH and LH
Gonads
Target tissue of ACTH
Adrenal cortex
Target tissue of TSH
Thyroid
Target tissue of Prolactin
Breasts
What are the thyroid hormones?
(T4) Thyroxine, (T3) Triiodothyronine, (Reverse T3), Calcitonin
The most important test of thyroid function
TSH
- Useful in assessing the metabolic activity of the thyroid and in the evaluation and treatment of thyroid cancer
- measures thyroidal uptake of radioactive iodine
Radioactive iodine uptake
Very sensitive marker for Hashimoto’s thyroiditis
Anti-TPO
Positive in 85% of patients with Grave’s disease
TRAb/TSHRAb
A gland that produces steroid hormones
Adrenal cortex
Which part of the adrenal gland is aldosterone secreted from?
Zona glomerulosa
Function of aldosterone
Blood pressure and electrolyte regulation
Target site of aldosterone
Kidneys
Cortisol
source:
Target site:
Function:
source: Zona fasciculata
Target site: Whole body
Function: CHO metabolism, CHON metabolism, and lipid metabolism
Sex steroids
source:
Target site:
Function:
source: Zona reticularis
Target site: Gonads, bones, skeletal muscles
Function: Precursor to active androgens; growth and maturation
Produces catecholamines
Adrenal medulla
Epinephrine
Target site:
Function:
Target site: sympathetic NS, liver, muscle, adipose (sites of glucose and lipid metabolism)
Function: Stimulates sympathetic nerves, promotes glycogenolysis and lipolysis
Norepinephrine
Target site:
Function:
Target site: Sympathetic NS
Function: Stimulates sympathetic nerves
What is the other name for Growth Hormone?
Somatotropin
An anteric hormone that plays an important role in nutrient sensing, appetite and glucose regulation, which is also a potent stimulator of GH secretion.
Ghrelin
is where boys and men are born with an extra X chromosome
Klinefelter syndrome (Hypogonadism)
What is hPL hormone?
Human Placental Lactogen
[Tumor Marker] Hepatocellular carcinoma
AFP
[Tumor Marker] breast carcinoma
CA 15-3
[Tumor Marker] pancreatic carcinoma
CA 19-9
[Tumor Marker] gastric carcinoma
CA 72-4
[Tumor Marker] ovarian carcinoma
CA 125
[Tumor Marker] lung carcinoma
CYFRA 21-1
[Tumor Marker] breast carcinoma
HER-2/neu
[Tumor Marker] pheochromocytoma, neuroblastoma
Catecholamines
[Tumor Marker] prostatic carcinoma
PSA
[Tumor Marker] urinary bladder carcinoma
Nuclear Matrix Protein
[Tumor Marker]
Females: gestational trophoblastic disorders, choriocarcinoma, teratoma, hydatidiform mole
Males: Testicular carcinoma or seminoma
B-hCG
a test that relies on biochemistry to measure the presence and/or concentration of an analyte
Immunoassay
an analytical technique used to separate, identify or quantify each component in a mixture. The mixture is separated using the basic principle of column chromatography and then identified and quantified by spectroscopy
HPLC (High-Performance Liquid Chromatography)
A laboratory method that uses antibodies to check for certain antigens (markers) in a sample of tissue. The antibodies are usually linked to an enzyme or a fluorescent dye.
Immunohistochemistry
any laboratory technique that measures enzyme activity within a sample.
Enzyme assays