Endocrinology Flashcards
What is the ‘hypothalamic-hypothoseal axis’
- Made of the hypothalamus and the pituitary gland
- Coordinates the endocrine glands
- Comprises of the hypothalamic-hypothoseal tract and the hypothalamic-hypothoseal axis
What are the stimuli for insulin release?
- Increase in blood glucose
- Increase in arginine/ leucine
- Increase in fatty acids from lipids
All of these increase blood sugar
What causes type 1 diabetes mellitus and what are the symptoms and treatment?
- Happens in young people
- Insulin dependent
- B cells of pancreas fail to produce insulin
- Body reacts as if glucose levels are LOW
- Lipids, proteins, fats broken down
- Ketone bodies produced (smell like peardrops)
Symptoms
- Ketoacidosis
- High glucose in blood
- Polyuria
- Polydipsia
- Hyperglycemia and dehyrdation
- Fatigue, muscle wasting
- Neuropathy, retinopathy
Treatment
- Insulin injections
What happens when insulin is released?
- Increase in glucose uptake into cells
- Increase in glucose utilisation
- Increase glucose -> glycogen
- Increase protein synthesis from arginine and leucine
- Increase fatty acids -> triglycerides (in adipose tissue)
What molecules use the HHPortal?
- Large molecules
- FSH
- LH
- Release factors
What is the difference between diabetes mellitus and diabetes insipidus?
Diabetes Mellitus
- ‘Sweet’ urine (contains glucose)
- Either when the body doesn’t produce insulin or the body doesn’t respond to insulin
Diabetes Insipidus
- ‘Tasteless urine’
- Nothing to do with insulin
- The posterior pituitary gland fails to produce ADH (Vasopressin)
- ADH acts on the kidney tubules to absorb water
- Polyuria, polydipsia (symptoms of diabetes)
What causes Polycystic ovary syndrome?
- Cells don’t respond to insulin
- Body produces more insulin (Hyperinsulinemia)
- This causes hyperandrogenism (increased weigh gain and hair growth)
- Causes reduces fertility
Where is insulin released from?
The beta cells of the pancreas
What are the stages that make insulin?
Prepoinsulin (made at the ribosome) -> proinsulin -> insulin
What is the pathway of Vasopressin down the HHtract and into the blood?
1) Large neurons in the nuclei of the hypothalamus SYNTHESISE Vasopressin
2) Vasopressin travels downt the HHtract into the posterior pituitary gland
3) At the nerve terminals, Vasopressin is released into a rich plexus of blood vesselss
What hormones does the pancreas secrete?
Amylas and Trypsin
How is the endocrine system different to the ANS?
- Integrative
- Slower acting
- Longer lasting
- Accurate
- Sensitive
What cause myxoedema and what are the symptoms?
- Low TSH in adults
- Not much energy produced
- Low cardiac output and odema
What causes type 2 diabetes and what are the treatments?
- Most common
- In people with obesity
- Non insulin-dependent
- Insulin levels are normal but cells are unresponsive to insulin
Treatment
1) Lose weight
2) Metaformin
- Hyperglyceamic agent
- Increase glucose uptake and prevents breakdown
- Doesn’t cause hypoglycemia
- But GI tract disturbances
What causes cretanism and what are the symptoms?
- Thyroid hormone is too low in CHILDREN
- Mentally immature
- Can’t hear or speak
- Retarded bone growth