Endocrine Flashcards
Tumor of the suprarenal gland that liberates excessive androgens, causing virilism (masculinization) in females
Virilizing adenoma
A severe state of hyperthyroidism that can be life-threatening. It is characterized by high body temperature, rapid heart rate, high blood pressure, digestive canal symptoms (abdominal pain, vomiting, diarrhea), agitation, tremors, confusion, seizures, and possibly coma.
Thyroid crisis (storm)
Excessive development of mammary glands in a male.
Gynecomastia
The thyroid gland often decreases its output of thyroid hormones with age, causing a ____ in metabolic rate, an _____ in body fat,
decrease; increase
With aging, the blood level of PTH _____
rises
The resultant decreased output of estrogens leads to conditions such as
osteoporosis, high blood cholesterol, and atherosclerosis
The most common abnormality associated with dysfunction of the posterior pituitary is
Diabetes Insipidus
due to defects in antidiuretic hormone (ADH) receptors or an inability to secrete ADH; excretion of large volumes of urine, with resulting dehydration and thirst. Bed-wetting is common in afflicted children
Diabetes Insipidus
types of diabetes Insipidus
Neurogenic diabetes insipidus; nephrogenic diabetes insipidus
hyposecretion of thyroid hormones that is present at birth, has devastating consequences if not treated promptly. Previously termed cretinism, this condition causes severe mental retardation and stunted bone growth
Congenital hypothyroidism
Hypothyroidism during the adult years produces _____, which occurs about five times more often in females than in males. A hallmark of this disorder is edema (accumulation of interstitial fluid) that causes the facial tissues to swell and look puff
myxedema
The most common form of hyperthyroidism; autoimmune disorder in which the person produces antibodies that mimic the action of thyroid-stimulating hormone (TSH).
Graves′ disease (ophthalmic hyperthyroidism)
Graves′ patients often have a peculiar edema behind the eyes, called
exophthalmos
leads to a deficiency of blood Ca2+, which causes neurons and muscle fibers to depolarize and produce action potentials spontaneously. This leads to twitches, spasms, and tetany (maintained contraction) of skeletal muscle.
tetany
An elevated level of PTH causes excessive resorption of bone matrix, raising the blood levels of calcium and phosphate ions and causing bones to become soft and easily fractured.
Hyperparathyroidism
Hypersecretion of cortisol by the suprarenal cortex produces; characterized by breakdown of muscle proteins and redistribution of body fat, resulting in spindly arms and legs accompanied by a rounded “moon face,” “buffalo hump” on the back, and pendulous (hanging) abdomen
Cushing’s syndrome
Hyposecretion of glucocorticoids and aldosterone causes; The skin may have a “bronzed” appearance that often is mistaken for a suntan.
Addison’s disease (chronic adrenocortical insufficiency).
Usually benign tumors of the chromaffin cells of the suprarenal medulla _______ cause hypersecretion of epinephrine and norepinephrine.
Pheochromocytomas
is a chronic disorder in which the pancreas does not produce sufficient insulin or body cells do not use insulin properly
Diabetes mellitus
is an autoimmune disease in which insulin level is low because the person’s immune system destroys pancreatic beta cells, the producers of insulin; called insulin-dependent diabetes; juvenile-onset diabetes because it usually occurs in people under 20 years of age
type 1 diabetes
noninsulin-dependent diabetes or adult-onset diabetes and is the more common type of diabetes and typically occurs in individuals who are over 40 and who are overweight. In these people, body cells become resistant to insulin. As a result, the pancreas has to work harder to produce more insulin. This damages beta cells and therefore insulin production decreases
Type 2 diabetes
A variety of stressful conditions or noxious agents elicit a similar sequence of bodily changes. These changes, called the
stress response or general adaptation syndrome (GAS), are controlled mainly by the hypothalamus
The stress response occurs in three stages:
(1) an initial fight-or-flight response,
(2) a slower resistance reaction,
(3) exhaustion
initiated by nerve impulses from the hypothalamus to the sympathetic part of the autonomic nervous system (ANS), including the suprarenal medulla, quickly mobilizes the body’s resources for immediate physical activity
fight-or-flight response
nonessential body functions such as digestive, urinary, and reproductive activities are inhibited
fight-or-flight response
causes the kidneys to retain Na+, which
leads to water retention and elevated blood pressure
Aldosterone
is initiated in large part by hypothalamic releasing hormones and is a longer-lasting response. The hormones involved are corticotropin-releasing hormone (CRH), growth hormone–releasing hormone (GHRH), and thyrotropin-releasing hormone (TRH)
Resistance Reaction
stimulates the anterior pituitary to secrete ACTH, which in turn stimulates the suprarenal cortex to increase release of cortisol.
corticotropin-releasing hormone (CRH)
stimulates gluconeogenesis by liver cells, breakdown of triglycerides into fatty acids (lipolysis), and catabolism of proteins into amino acids. Tissues throughout the body can use the resulting glucose, fatty acids, and amino acids to produce ATP or to repair damaged cells.
Cortisol
causes the anterior pituitary to secrete growth hormone (GH) in liver
growth hormone–releasing hormone
stimulates lipolysis and glycogenolysis, the breakdown of glycogen to glucose, in the
liver
insulinlike growth factors
stimulates the anterior pituitary to secrete thyroid-stimulating hormone
thyrotropin-releasing hormone
promotes secretion of thyroid hormones, which stimulate the increased use of glucose for ATP production
TSH
the resistance stage fails to combat the stressor, and the body moves into the state
Exhaustion
stimulate the hypothalamus to initiate the stress response through the fight-or-flight response and the resistance reaction
Stressors
Stress responses
Lipolysis
Gluconeogenesis
Protein catabolism
Sensitized blood vessels
Reduced inflammation
promoted by cortisol
a substance secreted by macrophages of the
immune system, is an important link between stress and immunity. One action of this is to stimulate secretion of ACTH, which in turn stimulates the production of cortisol.
Interleukin-1
an anxiety disorder that may develop in an individual who has experienced, witnessed, or learned about a physically or psychologically distressing event
Post-traumatic stress disorder (PTSD)
pituitary gland begins to develop from two different regions of the
ectoderm
posterior pituitary is derived from an outgrowth of ectoderm called the
neurohypophyseal bud
The anterior pituitary is derived from an invagination of ectoderm from the roof of the mouth called the
hypophyseal pouch or Rathke’s pouch.
The thyroid gland develops during the fourth week as a midventral outgrowth of endoderm
thyroid diverticulum, from the floor of the pharynx at the level of the second pair of pharyngeal pouches
The parathyroid glands develop during the fourth week from endoderm as outgrowths from
third and fourth pharyngeal pouches
The suprarenal cortex is derived from the same region of
mesoderm that produces the gonads
The suprarenal medulla is derived from
ectoderm from neural crest cells that migrate to the superior pole of the kidney
neural crest cells also give rise to
sympathetic ganglia and other structures of the nervous system
pancreas develops during the fifth through seventh weeks from two outgrowths of
endoderm from the part of the foregut that later becomes the duodenum
The pineal gland arises during the seventh week as an outgrowth between the thalamus and colliculi of the midbrain from
ectoderm associated with the diencephalon
The thymus arises during the fifth week from
endoderm of the third pharyngeal pouches
Two families of eicosanoid molecules that are found in virtually all body cells except red blood cells, where they act as local hormones (paracrines or autocrines) in response to chemical or mechanical stimuli.
prostaglandins (PGs) and the leukotrienes (LTs)
is a modified PG that constricts blood vessels and promotes platelet activation.
Thromboxane (TX)
stimulate chemotaxis (attraction to a chemical stimulus) of white blood cells and mediate inflammation
Leukotrienes
alter smooth muscle contraction, glandular secretions, blood flow, reproductive processes, platelet function, respiration, nerve impulse transmission, lipid metabolism, and immune responses. They also have roles in promoting inflammation and fever, and in intensifying pain.
prostaglandins
found in the skin that plays a role in the synthesis of calcitriol, the active form of vitamin D.
Cholecalciferol
Found in the Digestive canal that promotes secretion of gastric juice; increases movements of the stomach.
Gastrin
Found in the Digestive canal which stimulates release of insulin by pancreatic beta cells
Glucose- dependent insulinotropic peptide (GIP)
Found in the digestive canal which stimulates secretion of pancreatic juice and bile
Secretin
Found in the digestive canal which stimulates secretion of pancreatic juice; regulates release of bile from gallbladder; causes feeling of fullness after eating
Cholecystokinin (CCK)
In the placenta: Stimulates corpus luteum in ovary to continue production of estrogens and progesterone to maintain pregnancy.
Human chorionic gonadotropin (hCG)
In the placenta: Maintain pregnancy; help prepare mammary glands to secrete milk.
Estrogens and progesterone
In the placenta: Stimulates development of mammary glands for lactation.
Human chorionic somatomammotropin (hCS)
From the kidneys: Part of reaction sequence that raises blood pressure by bringing about
vasoconstriction and secretion of aldosterone.
Renin
From the kidneys: Increases rate of red blood cell formation.
Erythropoietin (EPO)
From the kidneys: Aids in absorption of dietary calcium and phosphorus
Calcitriol
From the heart: Decreases blood pressure.
atrial natriuretic peptide (ANP)
from the adipose tissue: Suppresses appetite; may increase FSH and LH activity
Leptin
inhibit cyclooxygenase (COX), a key enzyme involved in prostaglandin synthesis
Aspirin and related nonsteroidal anti- inflammatory drugs (NSAIDs), such as ibuprofen (Motrin®)