Endocrine and Metabolic Systems Flashcards
Hypothalamus is connected to the ______ via the _______
pituitary gland ; infundibulum
Ant. Pituitary structure
(adenhypophysis)
glandular tissue
Neurohypophysis
Infudibulum and posterior lobe
Part of brain that connects to NS
hypothalamus
Exocrine Gland
produce non-hormonal substances
have ducts to carry membrane surface
Endocrine Gland
Produce hormones
Lack ducts
Name the stimuli that stimulate endocrine glands to synthesize and release hormones
Humoral stimuli
Neural stimuli
Hormonal
Example of humoral stimuli
increase in Ca in blood triggers PTH
Example of neural stimuli
SNS can stimulate adrenal gland to release E and NE
Example of hormonal stimuli
hormones released by hypothalamus trigger release of hormones from pituitary
Endocrine system functions
differentiation of reproductive and CNS of fetus
growth and development of adolescent
coordination of male and female reproductive system
responses to emergency
homeostasis
Posterior Pituitary Hormones
ADH
Oxytocin
Anterior Pituitary Hormones
Prolactin
GH
TSH
FSH
LH
ACTH
Effector hormones of AP
Act on peripheral tissue
GH, PRL
Tropic hormones of AP
Stimulating hormones
Act on endocrine glands
ACTH, THS, LH, FSH
Posterior pituitary secretes which type of hormones?
Effector
Growth Hormone
promote increased growth in long bones and other tissues
TSH
stimulates thyroid gland to produce hormones
ACTH
stimulates adrenal cortex to produce corticosteroids to maintain BP, control electrolytes, promote glucose flow in blood
Prolactin
production of milk
LH and FSH
menstrual cycle and oogenesis
testicular hormones and spermatogenesis
ADH
osmotic regulation
Oxytocin
contractions of smooth muscle for breast feeding and contraction of uterus during labor
Thyroid Gland Secretions
T3, T4, calcitonin
Thyroid hormone functions
regulates normal growth and development of skeletal, nervous, and reproductive capabilities
maintains BP
Parathyroid gland secretion
PTH
PTH functions
regulates Ca and PO
reabsorption of Ca and PO from bone
Reabsorption of Ca and excretion of PO by kidneys
Adrenal Cortex secretions
Mineralocorticoids
Glucocorticoids-Cortisol
Sex steroids
Mineralocorticoids
Aldosterone-regulates NA reabsorption and K secretion
regulation of BP
Glucocorticoids-Cortisol
accelerates glucose synthesis and glycogen formation
anti-inflammatory
Hypo cortisol
addisons
Hyper cortisol
cushings
Sex steroids
Androgens that influence sexual characteristics
Adrenal medulla
produces E and NE for fight or flight
ADH
Stimulated by increased osmolarity
decreased blood volume or pressure
Endocrine pancreas
Produces glucagon from alpha cells to raise blood sugar
Produces insulin from beta cells to facilitate glucose transport, storage, protein synthesis and free fatty acid uptake
Insulin deficiency leads to
DM (hyperglycemia)
Insulin excess leads to
hypoglycemia
Endocrine pathology results from
inflammation or tumor
Pituitary tumor (secreting)
produce an excess of 1 or more pituitary hormones, most commonly prolactin
Pituitary tumor (nonsecreting)
do not secrete hormones and are often undiagnosed
microadenomas
tumors less than 1cm
macroadenomas
tumors greater than 1cm
Invasiveness of pituitary tumors
may extend into dura mater and sphenoid bone
Pituitary tumors can also affect
hypothalamus
visual deficit
headache
Galactorrhea
milk production outside of pregnancy or breastfeeding
Amenorrhea
absence of menstrual periods
Hyper GH in children
gigantism
overgrowth of long bones in children
before closure of epiphyseal plates
large but weak muscles
Hyper GH in adults
acromegaly
increased bone thickness and hypertrophy of soft tissue in adults
PT implications for Hyper GH
Post surgery
MSK pain and weakness
reduce ICP
Hypo GH
dwarfism
short, delayed growth and puberty, hypothyroidism
sexual and repro. disorders
PT implications for dwarfism
rarely seen
Hyper ADH
SIADH
excessive release of ADH
water intoxication
hyponatremia
headache from low sodium and seizure
increase BP
Hypo ADH
Diabetes insipidus
Kidneys fail to reabsorb water
Large amounts of dilute urine, polydipsia (excessive thirst), dehydration, dizziness
PT implications for ADH disorders
monitor weight and vitals
Hypothryroidsim
deficiency of T hormones
slow metabolism
swelling
bedsore
bradycardia
hair loss
cold intolerance
constipation
Hyperthyroidism
excess thyroid hormone
tachycardia
restless
hot skin
excitbale
weight loss
hot intolerance
diarrhea
deep tendon reflexes
dysphagia
swelling of neck
hypothyroid implications
activity intolernce, prone to skin tears and fibromyalgia
hyperthyroid implications
monitor vital signs, exercise intolerance
Hypothyroidism may be seen with what other disorders
Women with RA
exopthalmos
protruding eyes
hyperparathyroidism leads to
hypercalcemia
bone and kidney damage
hyperparathyroidism signs
osteoperosis
excessive urination
arthritis
kidney stones
depression and confusion
PT implications for hyperparathyroidism
low back pain, leg pain, semifowler position if gland removed, light resistance exercise
hypoparathyroidism can lead to
hypocalcemia and neuromuscular inability
hypoparathyroidism signs
muscle spasms
dizziness
fatigue
swallowing issues
mood swings
memory and cognitive problems