Endocrine Flashcards
Adrenals
Middle- Medulla - catecholamines, stimulates by splanchnic nerves releasing ach
Reticularis- sex hormones - ach from pituitary
Fasciculata- cortisol - stress, causes opposites effects insulin, reduces immune system
Glomerulosa- aldosterone thay acts on DCT, stimulates by high potassium or angiotensin
Adrenal embryology
Cortex mesoderm
Medulla ectoderm
Pellagra
B3
Dermatitis, dementia, diarrhoea
Carcinoid tumour
Serotonin secreting, often Bowels
Urinary 5HHA
Surgery for appendix >2cm Base Mesoaplendix Periappendical fat
Ebv cancers
Nasopharyngeal
Burkitts lymphomas
Hodgkins lymphomas
Kapsosis sarcoma
A
HSV 8
Has humorous and cancer
Lymphoma
Thyroid cancer
Medullary and papillary - spread lymp
Follicular - blood spread, orphan Annie
Papillary - previous radiation spreads both sides
Medullary needs bilateral neck dissection others central
Lymphoma -= hashimotos and non hodgkins chemradio
Lugols treats thyortoxicosis from surgery
Low for pride
Overdose of insulin
High of insulinoma
Feltys syndrome
Neutropenia, ra, splenomegaly
High dose dex suppression test
Pit tumours
Congenital adrenal hyperplasia
21- testosterone
17 - aldosterone
11- both
Adrenal crisis
Hypotension no response vasopressors
Adrenal cancer
10% extra - aorta organ of zuckercan
10 bilateral
10 kids1
10 MEN
Alpha blocker - phenoxtbenzaine
Nevrolytic migrans
Glucogonma
Depression
Diabetes