endocrinology anatomy Flashcards

1
Q

describe the location and surroundings of the hypothalamus

A
  • Thalamus makes up the wall of the third ventricle
  • Below thalamus is the hypothalamus
    o Also makes up part of inferior wall of 3rd ventricle
  • Anterior commissure is an anterior border to the hypothalamus
  • Hypothalamic sulus marks superior limit of hypothalamus
  • Inferiorly the optic nerve/ optic chiasm
  • Mamillary body is sometimes thought of as part of the hypothalamus
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2
Q

what nerves surround the base of the hypothalamus and what is the raised platform which the pituitary stalk sits on called

A

Olfactory nerve, optic tract, crus cerebri all together formt his diamond shaped area

  • Within this is the base of the hyppothalamus
  • Tuber cinerum is a raised platform upon this is the infundibulum aka the pituitary stalk
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3
Q

describe the cells within the hypothalamic nucleus and how they secrete hormones

A

The cells within these nuclei are able to make systemically active hormones

  • These hormones can travel down the axon of the magnocellular neurons
  • Axons pass down pituitary stalk
  • End of this stalk/ the axons is in the the pituitary gland
  • Then these hormones are secreted into the circulation from here
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4
Q

what are some of the important hypothalamic nuclei

A
  • Paraventricular Nucleus
  • Supraoptic nucleus
  • Suprachiasmatic nucleus
  • Dorsomedial nucleus
  • Ventromedial nucleus
  • Posteroior nucleus
  • Mammillary body
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5
Q

where does the hypothalamus receive info from

A

Limbic system
- Emotion, memory, instinctive and learned behaviours
Circulating blood
- Physical, chemical and hormonal state
Reticular formation
- State of arousal
- Can go via the thalamus to the hypothalamus or directly
Autonomic NS
- Chemical constituents in fluid filled cavities
- Pressure in smooth muscle walls

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6
Q

where does the hypothalamus disperse info to

A
Limbic system
-	Via the thalamus
-	Motor behaviour
Brainstem
-	Wakefulness and asleep
ANS
-	Internal organ control
Pitutary Gland
-	Secretes hormones
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7
Q

the pituitary gland - what is it, what are the 2 parts and their locations/ surroudings

A

Aka hypophys cerebri (meaning something hanging off the bottom of the brain)
- Functional output from hypothalamus
- Connected to hypothalamus via infundibulum (pituitary stalk)
- Posterior = neurpophysis = neuronal
o Expansion of distal infundibulum
- Anterior = adenohypophysis = epithelial
o Upgrowth from roof of primitive oral cavity

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8
Q

explain what the pituitary fossa is - where it is and what the hole in the middle is called

A

Depression in the middle of the skull
Hypophysial fossa – or pituitary fossa
- Extension of dura that goes over top of this fossa
- creates a shelf with a hole in the middle for the infundibulum to travel through
- This is known as the seller diaphragm
- Seperates cavity from rest of cranial cavity

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9
Q

what hormones are made in the anterior pituitary and what do they do

A
Adrenocorticotrophic hormone (ACTH)
-	Adrenal gland production of sex hormones and corticosteroids
Luteinising Hormones (LH)
-	Same as below
Follicle stimulating hormones (FSH)
-	Stimulates ovarian follicale and production of oestrogen and progesterone
Thyroid stimulation (TSH)
-	Thyroxine production from thyroid
Growth Hormone (GH)
-	Growth in epiphyseal cartilage
Prolactin (PL)
-	Lactogenesis
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10
Q

hormones made in the hypothalamus and what hormones do they promote/ inhibit

A
ACTH
-	CRH promotes
LH and FSH
-	LRHR promotes
TSH
-	TRH promotes
GH
-	GHRH promotes
-	GHIH inhibits
PL
-	PRH promtoes
-	PIH inhibits
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11
Q

cells in the anterior pituitary and what they make

A
Somatotrophs
-	GH
Mammotrophs
-	PL
Corticotrophs
-	Corticotrophin
Thyrotrophs
-	TSH
Gonadotrophs
-	FSH and LH
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12
Q

does the posterior pituitary make hormones?

A

Posterior pituitary isn’t making the hormones it’s just where the hormones are released into the systemic circulation

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13
Q

what hormones are released from the posterior pituitary and what hypothalamic nuclei make these

A

Oxytocin
- Milk production and uterine contraction
- Paraventricular nucleus (PVN) make this hormone
Vasopression (anti-diuretic hromone, ADH)
- Increase water uptake in the kidneys
- Supraoptic nucleus (SON) make this hormone

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14
Q

blood supply to the pituitary

A

Superior hypophyseal artery is one of the earliest branches of the internal carotid artery
- Comes off at the base of the infidibulum to create the pituitary portal system
- Also important as general blood supply
Inferior hypophyseal artery is another branch of the I. carotid artery

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15
Q

veins draining the pituitary

A

Veins

  • Drain sinusoids
  • Carry hormones away from pituitary gland into systemic circulation
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16
Q

what 2 hormones does the thyroid produce

A
  • Iodine containing hormones
    o T3 (tirhydorthyronine) and T4 (thyroxine)
    o T3 more metabolically active, T4 secreted more by throid then activate in systemic circulation
    o Regulate basal metabolic rate
    o Secretion regulated by TSH from anterior pituitary gland
  • Calcitonin
    o Controls blood calcium levels
    o Not under control of pituitary – negative feedback loop with blood calcium
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17
Q

whats special about the thyroid glands storage capacity

A

Stores hormones in inactive form in extracellular compartment
- Other organs can’t do this – instead store in intracellular compartments

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18
Q

what is the location of the thyroid in relation to muscles

A
  • Deep to sternocleidomastoid muscle

- Deep to sternothyroid muscle

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19
Q

blood supply of the thyroid

A

From 2 sources

  • Branch of subclavian artery called the thyrocervical trunk, brach from this called inferior thyroid artery and
  • Branch of the external carotid called the superior thyroid artery
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20
Q

recurrent laryngeal nerve what does it supply and whats its relevance to the thyroid

A
  • Supllies larynx

- It’s very close to the thyroid and is commonly damaged during thyroid surgery

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21
Q

venous drainage of the thyroid

A
  • Supeior thyroid vein
  • Middle thyroid vein
  • Inferior thyroid vein
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22
Q

histology of the thyroid

A
  • Unique as it has extracellular spaces to store thyroid hormones
  • Follicles surrounded by cuboidal epithelial cells
  • Have extracellula rspace amongst this
  • Whole throid gland is seperated by the septa
    o Connective tissue that’s came in from the fibrous capsule
    o These carry the blood vessels
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23
Q

what cells secrete / store thyroxine

A

Throxine made in the surrounding cuboidal epithelium it’s then secreted and stored in the centre of the follicle

24
Q

parathyroid location and number

A

Located on the back of the thyroid gland
Number of them is variable
- Typically have 4
o 2 on each side – inf. And sup.

25
Q

blood supply and venous drainage of the parathyroid

A

BLOOD SUPPLY
- From inferior thyroid artery from subclavian artery
- Lots of anastamoses in this area so may have supply from superior thyroid artery aswell
Venous drainage
- Similar to thyroid as drain through the same pathway

26
Q

histology of the thyroid

A
P- chied/ principle cells
-	Secrete PTH
A – adipocytes
-	20-40% of mass made of adipose tissue
-	After adolescense fat acumulate in the thyroid
O – oxyphil cell
-	Role unclear
C – capillary
-	Brings and drain blood
27
Q

structure of the pancreas

A
  • Head (uncinate process), neck, body, tail
  • Main oancreatic duct
  • Hepatopancreatic ampulla (the accessory and main pancreatic ducts joined together)
  • Accessory pancreatic duct
28
Q

arterial supply of the pancreas

A

ARTERIAL SUPPLY
- Complex, rich blood supply
Common Hepatic artery (a branch of the coeliac trunk)
- Gives off the gastroduodenal artery
- Gives off the right gastroomental and is thereafter known as anterior superior pancreaticoduodenal
- Divides into the posterior superior pancreaticoduodenal at about the same time

Superior Mesenteric artery

  • Emerges between the pancreas ansd the duodenum
  • Gives of the branch – inferior pancreaticoduodenal (anterior and posterior branches)
  • These anastamose with the anterior and posterior counterparts coming from the common hepatic

Splenic artery

  • Winds along the top of the pancreas
  • Great pancreatic Artery is a branch that comes off of this
  • Supplies much of the body and tail of pancreas
29
Q

venous drainage of the pancreas

A

Splenic Vein
- Drains the neck, body and tail
Superior and inferior pancreaticoduodenal veins
- Drains the head
- Both drain into the superior mesenteric vein

30
Q

lymphatic supply to the pancreas

A
  • Most goes via pancreaticosplenic nodes
  • Some via celiac nodes
    Ultimately draining to lymph nodes around the superior mesenteric artery or the coeliac trunk via the hepatic nodes
31
Q

histology of the pancreas

A
  • Most of substance made up of acciner cells
  • Adipocytes (AC)
  • Pancreatic islets (I) aka the endocrine cells of the pancreas
32
Q

testis structure - 3 main structures and funtions

A
-	Ductus (vas) deferens
o	Transport sperm from semeniferous tubules to ejaculatory ducts
-	Epididymis
o	Has a head, body and tail
o	Sperm is stored and matured
-	Seminiferoud tubules
o	Produce spermatozoa
o	Also where male hormones are produced
33
Q

development and blood supply of the testis

A
  • Testis develop in abdominal cavity
  • By birth descend to the scrotum
    o As they descend bring down blood, nerves, ducts
    o Main blood supply are gonadal testicular arteries
    o Arise from the abdominal aorta at L2
34
Q

venous drainage of the testis

A
Venous drainage
-	Pampiniform plexus of veins
o	Drains epididymis and testes
-	Testicular/ ovarian veins
o	R – IVC
o	L – Left renal artery
35
Q

descent of testis in development

A
  • Helped by gubernaculum
    o A fibrous cord of tissue that attaches to inferior portion of gonad and to the scrotum (or labia in females)
    o Guides testis descent
  • Inguinal canal > passge through anterior abdominal wall created by the processus vaginalis (forms during embryonic development)
    o The route which the testis move through the muscle into the scrotum
  • Processus vaginalis finally forms the spermatic cord > collection of the vessels, nerves and ducts that testis drags with it as it descends
36
Q

spermatic cord

A
  • Tube shaped connection between pouch in scrutum and abdominal wall
  • Surrounded by fascia
  • Runs from opening in the inguinal canal into the scrotum through inguinal ring
37
Q

what are the 3 cell types in the seminiferous tubules

A

Seminiferous tubules are lined with 3 cell types –
1- Germ cells (sperm in various stages of development)
2- Sertoli cells (supporting cells)
3- Leydig cells (endocrine function)

38
Q

androgens produced by leydig cells

A
  • Testosterone
  • Androstenedione
  • Dehydroepiandrosterone (DHEA)
39
Q

whats the stages the follicles fo trhough in oogenesis

A
  • Every ~28 days (or more) ovarian follicle ruptures and releases ovum into peritoneal cavity
  • Primordial follicle is starting point for egg formation
  • Primary follicle – larger cuboidal granulosa cells
  • Secondary follicle as granulosa cells proliferate
  • As fluid starts to form the follicle is known as an antral follicle
  • Antrums join to one big shape forming graafian follicle
  • This ruptures and releases an oocyte
  • The remainign structure is known as the corpus luteum
40
Q

what are the zones of the ovary

A
Peripheral zone – cortex
-	Contains ovarian follcile
-	Each follicle contains one ovum
Central zone – medulla
-	Contaisn blood vessels
41
Q

what is the control system in the HPO axis

A
  • Hypothalamus secretes GnRH
  • FSH and LH released from anterior pituitary
  • FSH stimulate follicle to grow
    o As these grow they secrete oestrgen and inhibins (granulosa cell release this)
    o Inhibin has negative feedback on pituitary to inhibit FSH
  • LH surge drives ovulation
    o Also stimulates development of corpus luteum
    o Corpus luteum secretes progesterone
    o Progesterone stimulates growth and differentiation of endometrium (oestrogen also helps with this)
    o High progesterone inhibits FSH and LH secretion
42
Q

what happens hormonally if pregnant

A

If get pregnant…

  • Fertilised embryo secrete hCG
  • Placental hormone secreted by placental cels in early developing embryo
  • hCG signals to corpus luteum preventing it from degenerating
  • corpus luteum continues to secrete progesterone and eostradiol
  • if no hCG (no fertilised egg) endometrium degenerates = period
43
Q

uterus structure and position

A
  • hollow pear-shaped, muscular organ
  • sits between bladder and rectum in females
  • suspended by broad ligament
  • has as….
    o Fundus
    o Body
    o Cervix
  • Normal position
    o Anteverted (in respect to vagina) – rotated forward towards anterior surface of body
    o Anteflexed (in respect to cervix) – flexed towards anterior surface of body
44
Q

layers of the uterine wall

A
3 tissue layers…
-	Endometrium
o	Innermost layer, divided into…
o	1 – functional layer – rich in glands, thickens and becomes rich in blood vessels, is shed in menstruation
o	2 - Basal layer- not lost during menstruation, a fresh functional layer is regenerated from this layer during each cycle
-	Myometrium
o	Middle, muscular layer (smooth)
o	Thickest layer
o	Prodcues contractions in childbirth
-	Perimetrium
o	Outermost layer 
o	Part of vsiceral peritoneum
45
Q

histology of the uterus in different menstrual stages

A
Menstrual phase
-	Low progesterone
-	Cell death
-	Restriction of blood vessels
-	Ischaemia
-	Endometrial shedding
Early proliferative phase
-	Sparse/ small uterine glands
-	Stroma proliferates, thickens
-	Vascularisation of stroma
Late proliferative phase
-	Thick stratum functionalis
-	Colled glands
-	Densely packed glands
Secretory
-	Inc. progesterone
-	Complex, coiled glands
-	Max. thickness
-	Saw-toothed glands
46
Q

blood supply to the uterus

A
  • Internal iliac artery
  • External iliac artery
  • Uterine artery (branch of IIA) paired
    Uterine veins (tribitary of the IIV) paired
47
Q

placenta

A
  • highly vascular organ
  • formed from elements of membranes that surround developing foetus and uterine endometrium
  • vital physiological exchange between maternal and fetal circulation
  • expelled from uterus as the afterbirth
48
Q

functions of the placenta

A
  • transport of gases and nutrients
  • excretion – fetal waste
  • hormone/ growht factor production
    o hCG, estradiol, progesterone
  • metabolic functions
    o synthesis of glycogen
  • Protection
49
Q

endocrine secretions of the placenta

A

Human Chorionic Gonasotrophin (hCG)
- Secreted by trophoblast cells of the early embryo during…
o Stimulates the production of progesterone and so prevents the corpus luteum from degenerating
Progesterone
- Important for maintenance of pregnancy
- Acts on myometrium to inhibit uterine contractions
Estradiol
- Help uterus grow, maintains uterine lining and stimulates growth and development of the mammary glands

Luteal-placental shift occurs around 8 weeks into pregnancy, placenta takes over secretion of progesterone from corpus luteum

50
Q

what are the 2 parts of the placenta - and what proportions do they make up throughout pregnancy

A

Villous Chorion > fetal part of the placenta develops from chorionic sac

Decidua Basalis > maternal part of placenta derived from the endometrium

By end pf 4 months of pregnancy the decidua basalis is almost completely replaced by fetal part of placenta

Outer layer of chorion is the trophoblasts which provide nutrients for foetus

51
Q

the placenta - chronic villous description

A
  • Blood vessels come into the villous
  • Branch villi arise from stem villous
  • Each septum divides fetal part of placenta into convex areas – cotyledon
  • Each cotyledon consists of 2 or more stem villi and many branch villi
  • Blood vessels supply the foetus with blood and O2 take away CO2
52
Q

umbilical cord

A
  • 2 umbilical arteries which bring deoxygenated blood from foetus to placenta
  • Well-oxygenated blood carried by single umbilical vein – brings O2 to foetus
53
Q

all substances are transported from mother to fetus via one of the following mechanisms…

A
  • Simple diffusion
  • Facilitated diffusion (electrical gradients)
  • Active transport
  • Pinocytosis (endocytosis of small amoutn of material being engulfed into the cell
54
Q

maternal vs fetal placenta surfaces

A

maternal

  • Cotyletons on matenal surface covered in grooves occupied by placental septums
  • Each cotyleton has a few stem villi and many branch villi

fetal

  • Blood vessels running in the chorionic plate deep to the anion
  • Converge to form umbilical vessels at the attachment of umbilical cord
55
Q

histology of the placneta

A

In early placenta there ar enot that many villi compared to late placenta