Endocrine Diseases Flashcards
acidophils produce?
GH, LH, prolactin
basophils produce?
TSH, ACTH, FSH
chromophobes?
precursors or spent cells
posterior pituitary?
oxytocin and vasopressin
pituitary tumor that typically does not produce hormoes; symptoms secondary to local mass effects?
chromophobe adenomas
pituitary tumor that produces GH, LH and protactin?
acidophil adenoma
caused by GH producing tumor prior to closing of growth plates?
gigantism
caused by GH producing tumor after closing of growth plates?
acromegaly
impotence in males, amenorrhea in females?
LH producing acidophil adenoma
most common, lactation, galactorrhea, amenorrhea?
prolactin producing acidophil adenoma
cushing disease (adrenal cortical hyperfunction)?
ACTH producing basophil adenoma
rare cause of hyperthyroidism?
TSH producing basophil adenoma
resemble ameloblastomas of the jaws?
craniopharyngioma
accelerated growth; McCune-Albright syndrome; enlarged sella turcica; macrodontia?
gigantism
reduced life span with complications including hypertension, peripheral neuropathy, pulmonary disease?
gigantism
excess production of GH after closure of epiphyseal plates?
acromegaly
renewed growth in the small bones of the hands and feet and membranous bones of the skull and jaws?
acromegaly
anterior open bite and spacing of teeth; coarse facial features; sleep apnea; macroglossia?
acromegaly
hypopituitarism; infarction of the pituitary secondary to post partum hemorrhage and shock?
sheehan’s syndrome
decreased sexual function; decreased metabolism; cachexia; loss of skin pigment and hair; other endocrine glands will undergo atrophy?
sheehan’s syndrome
hypofunction of posterior pituitary; secondary to a variety of factors affecting the hypothalamus or pituitary (trauma; surgery)?
diabetes insipidus
secondary to reduced production of growth hormone or reduced response (abnormal and reduced receptors)?
pituitary dwarfism
short stature, with normal proportions, with the exception being small facial proportions; delayed shedding of deciduous teeth; delayed permanent tooth eruption, with delayed root development; lack of 3rd molars; low levels of human growth hormone?
pituitary dwarfism
thyroid gland requires …. and …. for normal function?
iodine and TSH
enlargement of thyroid?
goiter
simple goiter is most commonly due to …. deficiency?
iodine
exopthalmic goiter; secondary to autoantibody production which binds to and stimulates TSH receptors?
grave’s disease
hyperthyroidism; symptoms associated with increased metabolic rate; eyelid retraction and lid lag, exophthalmos?
grave’s disease
elevated free thyroxine and depressed TSH levels?
hyperthyroidism
congenital hypothyroidism; secondary to maternal iodine deficiency or congenital defect?
cretinism
adult hypothyroidism; secondary to iodine deficiency, surgery, idiopathic atrophy and fibrosis?
myxedema
lethargy, weakness and fatigue; dry coarse skin; swelling of the face and extremities; bradycardia; husky voice; macroglossia; thickened lips; delayed tooth eruption?
hypothyroidism
elevated TSH?
hypothyroidism
lymphocytic thyroiditis; lymphocytic infiltration replaces the normal glandular parencyma; anti-TSH receptor antibodies; euthyroid or mildly hypothyroid?
Hashimoto’s disease
kidney stones, bone lesions and ulcers of the duodenum; depression; brown tumors; osteitis fibrosa cystica; loss of lamina dura; altered trabecular pattern?
primary hyperparathyroidism
renal osteodystrophy?
secondary hyperparathyroidism
most commonly due to surgical removal of the parathyroid glands?
hypoparathyroidism
hypocalcemia; Chvostek’s sign; decreased PTH and calcium; elevated phosphate and normal renal function?
hypoparathyroidism
secondary to massive adrenal hemorrhage (anticoagulant therapy, DIC, Waterhouse-Friderichsen syndrome)
acute hypoadrenocortisism
chronic hypoadrenocortisism
Addison’s disease
fatigue, irritability, depression, weakness and hypotension; hyperpigmentation; GI symptoms, salt craving?
Addison’s
secondary to increased androgens; precocious virilism in males, masculinization or pseudohermaphroditism in females?
adrenogenital syndrome (hyperfunction)
hypercortisolism?
Cushing’s
weight gain (buffalo hump, moon facies); abdominal striae; hirsutism; poor healing?
Cushings
retention of Na and loss of K leading to alkalosis, hypokalemia, tetany and tingling; polyuria, hypertension, weakness?
primary aldosteronism
common childhood tumor of adrenal medulla?
neuroblastoma
adrenal medulla tumor in children and adults?
ganglioneuroma
adrenal medulla tumor that may produce epi, leading to associated signs and symptoms. catecholamines may be present in the urine?
pheochromocytoma