Diseases Of The Endocrine System Flashcards
What are the two different portions of the pituitary gland?
Adenohypophysis and neurohypophysis (infundibulum is the stalk that connects the gland)
What does growth hormone deficiency manifest?
Causes growth disorders in children and leads to abnormal composition in adults.
What does FSH and LH deficiency cause?
Causes menstrual disorders, infertility, and decreased sexual function and women, and the loss of secondary sexual characteristics in males.
What does TSH deficiency cause?
Causes growth retardation and children and features of hypothyroidism and both adults and children.
What does ACTH deficiency cause?
Leads to decreased production of adrenal cortical hormones.
Results from a growth hormone deficiency. Growth retardation may become evident in infancy and persists throughout childhood. Child’s growth curve may range from flat with no growth, to shallow, showing little growth.
Pituitary dwarfism
What are the symptoms and signs of pituitary dwarfism?
Slow growth for the aged five years, absent or delayed sexual development, in short stature and height for age.
How do you treat pituitary dwarfism?
Hormone replacement therapy
Is a rare condition that is usually caused by damage to the pituitary gland or the hypothalamus.
Adult growth hormone deficiency
What are the signs and symptoms of adult growth hormone deficiency?
Increased body fat, reduced exercise capacity, impaired heart function, reduced muscle mass and abnormal lipid profile
How do you treat adult growth hormone deficiency?
Hormone replacement therapy
Is a rare condition of growth hormone excess that occurs during childhood. Prior to closure of the epiphyseal growth plate, excess growth hormone stimulates excessive linear growth. Most common cause is benign tumor of the pituitary gland.
Gigantism
What are the signs and symptoms of gigantism?
Bone length increases rapidly, delayed sexual development
How do you treat gigantism?
There is no treatment
A condition that results from excess growth hormones after growth plate fusion has occurred. Most common cause is a pituitary tumor.
Acromegaly
What are the signs and symptoms of acromegaly?
Enlargement of feet, hands, space as bones grow in diameter; soft tissue growth; nose, lips, lower job protrude, and skin thicken.
How do you treat acromegaly?
There is no treatment
Decreased secretion or action of ADH results in the syndrome.
Diabetes insipidus
What are the signs and symptoms of diabetes insipidus?
Polyuria, polydipsia
How do you treat diabetes insipidus?
Administer ADH
Which gland regulates the metabolic rate?
Thyroid (with thyroxine)
May affect almost all body functions. The severity of this ranges from mild with unrecognized symptoms, to striking symptoms such as mental status changes, extreme and prolonged fatigue, weight gain, swelling or complaints of cold in the hands and feet, menstrual irregularities, muscle aches, and hair sitting.
Hypothyroidism
What causes hypothyroidism?
Primary disease of the thyroid gland, autoimmune disease, radioactive iodine, dietary iodine deficiency, lithium
How do you treat hypothyroidism?
Thyroid hormone replacement
Hypothyroidism of a newborn. Most often the result of hypoplasia, aplasia, and failure of the thyroid gland to migrate to his normal anatomical position. Caused by excessive maternal iodine intake during pregnancy.
Congenital hypothyroidism
What are the symptoms and signs of congenital hypothyroidism?
Physical and mental sluggishness, poor muscle tone, umbilical hernia, protruding abdomen, bradycardia, and growth retardation
How do you treat congenital hypothyroidism?
Thyroid hormone replacement
Is hypermetabolic condition of thyroid hormone excess. Also referred to as thyrotoxicosis.
Hyperthyroidism
What causes hyperthyroidism?
Autoimmune disease (Graves disease), pituitary tumors, and pregnancy
What are the signs and symptoms of hyperthyroidism?
Nervousness, restlessness, heat intolerance, increased sweating, fatigue, weakness, muscle cramps, and weight loss.
How do you treat hyperthyroidism?
Radioactive iodine, surgery to remove tumors, and radiation
Swelling of the thyroid gland, is associated with viral or bacterial infections, autoimmune disease, and aging.
Thyroiditis
What are the signs and symptoms of thyroiditis?
Pain, swelling, thyroid tenderness, goiter
How do you treat thyroiditis?
Anti-inflammatory medications, and pain medications
Also known as Addison’s disease, and can be the result of any disease that damages the entire adrenal cortex.
Hypoadrenalism
What causes hypoadrenalism?
Damage to adrenal cortex, infections, opportunistic infections associated with AIDS, cancer, hemorrhage of the adrenal gland.
What are the symptoms and signs of Addison’s disease?
Weight loss, fatigue, anorexia, abdominal discomfort, vomiting, diarrhea
How do you treat Addison’s disease?
Replacement of glucocorticoids and mineralocorticoids
Also known as Cushing’s syndrome, refers to manifestation of excessive corticosteroids. Caused by benign pituitary tumors.
Hyperadrenalism
What are the signs and symptoms of Cushing’s syndrome?
Hyperglycemia, hyperlipidemia, fluid retention, weight gain, weakness, fatigue, hypertension
How do you treat Cushing’s syndrome?
Surgery, radiation, medications to treat hypertension, diabetes, and hyperlipidemia
Is it a rare epinephrine norepinephrine producing tumor occurs equally and women of the fourth and fifth decades of life.
Pheochromocytoma
What causes pheochromocytoma?
Tumor located in the adrenal medulla.
What are the signs and symptoms of pheochromocytoma?
Hypertension is most common. Includes headache, excessive sweating, and palpitations.
How do you treat pheochromocytoma?
Antihypertensive medication. Surgery provides infective cure by removing the tumor.
Excessive secretion of parathyroid hormone, is often caused by benign parathyroid tumors.
Hyperparathyroidism
What are the symptoms and signs of hyperparathyroidism?
Due to lack of calcium in bones, weak bones deform and fracture easily, kidney stones, pain in bones, depressed nervous system, weak muscles, slow heart rate, abdominal pain, vomiting and constipation.
How do you treat hyperparathyroidism?
Surgical removal of tumor on parathyroids, medications to lower blood calcium
Is mostly condition that commonly occurs in patients following surgical resection of the thyroid gland. Can also be a result of damage from heavy metals such as copper or iron, or can result from immune disorders and infections.
Hypoparathyroidism
What are the symptoms and signs of hypoparathyroidism?
Overexcited muscular and nervous system, characteristic tetany of hands, and laryngeal spasm
How do you treat hypoparathyroidism?
Administer vitamin D and calcium
Is characterized by total or near total absence of insulin production. Also referred to as juvenile-onset diabetes as peak of incidence is between ages 10 to 14 years.
Type 1 diabetes mellitus
What causes type 1 diabetes mellitus?
Autoimmune destruction of the beta cells of the pancreas
What are the symptoms and signs of type 1 diabetes mellitus?
Polyuria, polydipsia, polyphagia, weight loss
How do you treat type 1 diabetes mellitus?
Insulin
Is not associated with description of pancreatic beta cells. Results from defects him insulin secretion by the pancreas insulin utilization in target tissues. Insulin resistance occurs.
Type 2 diabetes mellitus
What causes type 2 diabetes mellitus?
Obesity, hypertension, hyperlipidemia
What are the symptoms and signs of type 2 diabetes mellitus?
Polyuria, polydipsia
How do you treat type 2 diabetes mellitus?
Weight-loss, exercise, oral antidiabetic medication, insulin
Abnormally increased functional activity of the gonads before puberty produces precocious sexual development in both sexes.
Hypergonadism
What causes hypergonadism?
Hypersecretion of sex hormones caused by tumors
What are the signs and symptoms of hypergonadism?
Precocious sexual development
How do you treat hypergonadism?
Administration of sex hormones
Is a deficiency in sex hormones cause by undeveloped gonads.
Hypogonadism
What are the signs and symptoms of hypogonadism?
Lack of sexual development, eunuchism
How do you treat hypogonadism?
Administration of sex hormones
Review questions on page 332
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