endocrine glands Flashcards

1
Q

endocrine system

A

feedback loops of hormones produced by glands. Hormones are released directly into bloodstream and have affects on distant target organs
no ducts

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2
Q

what type of hormones are released by hypothalamus?

A

releasing hormone

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3
Q

what type of hormones are released by Ant. pituitary?

A

tropic hormone

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4
Q

where is pituitary gland found?

A

base of brain

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5
Q

posterior pituitary

A

contains neural tissue - continuation of hypothalamus

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6
Q

hypophysis

A

in pituitary fossa of sella turcica
covered by dura
extension of hypothalamus

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7
Q

where is the cavernous sinus?

A

inside 3rd ventricle

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8
Q

what are the cell types in the anterior pituitary

A
somatotropes
corticotropes
thyrotropes
gondotropes
lactotropes
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9
Q

somatotropes

A

CHRH and somatostatin released from the hypothalamus, causing HGH - growth hormones to be released from anterior pituitary

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10
Q

Thyrotropes

A

TSH released by anterior pituitary

controlled by TRH and somatostatin from hypothalamus

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11
Q

gondotropes

A

LH and FSH

controlled by GnRH from hypothalamus

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12
Q

lactotropes

A

Prolactin
Inhibitory control by
dopamine
TRH and oxytocin and ADH

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13
Q

posterior pituitary

A
neurohypophysis
extension of hypothalamus 
consists of axonal tissue
hormones are made in hypothalamus but are secreted here.
ADH and oxytocin released
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14
Q

pituitary disease

A

hypo or hyper

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15
Q

apoplexy

A

bleed

no pituitary hormones

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16
Q

adenomas

A

macro/ micro

benign tumour of the pituitary gland/ glandular tissue

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17
Q

location of pituitary gland

A

within cavernous sinus

below optic chiasm

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18
Q

thyroid gland

A

anterior of neck between C5-T1
deep to inferior strap muscles
anterior lateral to larynx and trachea

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19
Q

muscles of hyroid

A

sternothyroid and sternohyoid

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20
Q

structure of thyroid

A

covered by fibrous capsule

2 lobes joined by isthmus

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21
Q

what is thyroid made up o f?

A

follicles
follicular cells surround the follicles
colloid fluid fills the space
parafollicular cells

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22
Q

where are parafollicular cells found and what do they do

A

around the outside of follicular cells of thyroid and produce calcitonin

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23
Q

arterial supply of endocrine glands

A

highly vascular

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24
Q

arterial supply of thyroid

A

superior - external carotid branch
inferior - thyrocervical trunk from subclavian
thyroid ima artery from brachiocephalic trunk
extensive anastomosies

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25
thyroid ima artery
only in 10% of people | runs up trachea, relevant in trachiotomy
26
venous drainage of thyroid
superior thyroid veins - to internal jugular vein middle thyroid veins - to internal jugular vein inferior thyroid veins - to brachiocephalic veins
27
lymphatic drainage of thyroid
local chain of lymph nodes | thoracic duct
28
nerve supply of thyroid
autonomic - sympathetic ganglia superior, inferior and middle cervical vasomotor control of blood supply but hormone secretion controlled by releasing hormones from pituitary and hypothalamus
29
recurrent laryngeal nerve
related to inferior thyroid artery
30
corticotropes
corticotropin releasing hormone released by hypothalamus which causes adrenocorticotropin to be released from anterior pituitary
31
apoplexy
haemorrhage or infarction of pituitary gland
32
hypothyroidism symptoms
``` tiredness weight gain depression sensitivity to cold dry skin and hair muscle aches ```
33
hyperthyroidism symptoms
``` anxiety mood swings difficulty sleeping persistent tiredness/ weakness sensitivity to heat goitre irregular/ fast heart rate trembling weight loss ```
34
graves disease
autoimmune disease causing hyperthyroidism
35
hasimoto thyroiditis
autoimmune disease where the thyroid is gradually destroyed, leading to hypothyroidism and a goitre
36
goitre
non-neoplastic non-inflammation enlargement due to iodine deficiency
37
parathyroid glands
2 pairs of glands at posterior of thyroid
38
blood supply to parathyroid glands
inferior thyroid artery
39
venous drainage to parathyroid
thyroid plexus
40
nervous supply of parathyroid
cervical sympathetic ganglia vasomotor secretomotor by hormonal regulation
41
adrenal glands
suprarenal gland | superior to kidneys
42
arterial supply of adrenal gland
superior suprarenal middle suprarenal inferior suprarenal
43
venous drainage of adrenal gland
right and left suprarenal
44
lymphatic drainage of adrenal glands
lumbar lymph nodes
45
nerve supply of adrenal glands
celiac plexus | autonomic
46
where does the adrenal medulla originate
neural ectoderm
47
where does the adrenal cortex originate
mesoderm
48
what does the adrenal cortex produce?
corticosteroids and androgens
49
what are the zones of the adrenal cortex?
zona glomerulosa zona fasciculata zona reticularis
50
what is found at the centre of adrenal cortex?
adrenal medulla
51
what is the role of the zona glomerulosa?
mineralocorticoids | aldosterone
52
what does aldosterone do?
makes kidneys retain sodium and water and excrete potassium to increase blood pressure and volume controls ACTH angiotensin II when BP drops and causes aldosterone production
53
what is the role of the zona fasciculata?
produces glucocorticoids in response to Adrenocorticotropic hormone
54
what are glucocorticoids, what do they do?
cortisol, corticosterone, cortisone | enhance the metabolism
55
what does cortisol do?
enhances activity of glucagon and catecholamine
56
what does the zona reticularis do?
releases androgens and DHEA in response to ACTH
57
what happens when the blood sodium levels fall
aldosterone released from adrenal cortex > targets kidneys so more sodium is reabsorbed by the kidneys and the levels are normalised
58
what happens when the blood potassium levels rise?
aldosterone is released from adrenal cortex > targets kidneys which causes the release of potassium to fall and normalise the level
59
adrenal medulla
nervous tissue associated with sympathetic NS
60
what cells is the medulla made of?
chromaffin cells
61
what do the chromaffin cells of the medulla do?
secrete catecholamines
62
what is the pancreas
exocrine and endocrine glands
63
exocrine aspect of pancreas
secrete pancreatic juice from acinar cells into the pancreatic ducts and duodenum
64
endocrine aspect of pancreas
pancreatic islets of langerhans glucagon and insulin secretion involved in glucose metabolism produces somatostatin and pancreatic polypeptide which modulate action of glucagon and insulin secretion
65
what cells secrete somatostatin
D cells of pancreas
66
what cells secrete pancreatic polypeptide
F cells of the pancreas
67
What do the ovaries secrete?
oestrogen progesterone inhibin
68
what do the testes secrete?
androgen - testosterone | inhibin
69
what are other endocrine glands
``` stomach small intestine kidneys adipose tissue heart thymus ```
70
what does the stomach secrete?
gastrin from parietal cells
71
what does the small intestine secrete?
GIP Secretin CCK
72
what do the kidneys secrete?
renin calcitriol EPO
73
what does adipose tissue secrete?
leptin
74
what does the heart secrete?
ANP | BNP
75
what does the thymus secrete?
THF
76
what are the strap muscles?
sternohyoid sternothyroid thyrohyoid omohyoid