glands - pituitary Flashcards

1
Q

location of pituitary

A

Suspended by pituitary stalk/infundibulum

Sits in depression in sphenoid bone

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2
Q

function of the pituitary

A

Site of production and secretion of hormones that control a variety of processes across multiple body systems

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3
Q

gross structure of pituitary

A

Has an anterior lobe (adenohypophysis)

Has hypophyseal portal vessels that communicate between the hypothalamus and anterior lobe

Has a posterior lobe (neurohypophysis)
Essentially an extension of the hypothalamus

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4
Q

blood supply:

A

superior hypophyseal artery = loops round hypothalamus first

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5
Q

venous drainage

A

anterior and posterior hypophyseal veins

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6
Q

histology of the anterior pituitary

A

Anterior pituitary is made up of different endocrine cell types (e.g. lactotroph cells) that secrete different hormones

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7
Q

histology of the posterior pituitary

A

Posterior pituitary is made up of the axons and terminals of secretory neurons from the hypothalamus.
Glial cells surround each termina

Hormones are only stored and released in the posterior pituitary - they are synthesized in the supraoptic and paraventricular nuclei of the hypothalamus

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8
Q

hormones of the Adenohypophysis

A
  1. growth hormone
  2. TSH
  3. ACTH
  4. LH/FSH
  5. prolactin
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9
Q

hormones of the ineurohypophysis

A
  1. oxytosin

2. ADH/vasopressin

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10
Q

TSH - action and control

A

Thyroid stimulating hormone (TSH)

Acts at the thyroid to stimulate production of T3/T4
increases iodine take up by the thyroid and stimulates thyroid growth

Controlled by TRH secreted by the hypothalamus, that reaches the anterior pituitary via the portal system.

TRH is controlled by a negative feedback of T3/T4.

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11
Q

ACTH action and control

A

Adrenocorticotropic hormone (ACTH)

Stimulates the adrenal cortex to synthesise cortisol.
Also stimulates the production of sex steroids

Release is stimulated by CRH from hypothalamus
CRH is controlled by negative feedback of glucocorticoids (e.g. cortisol)

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12
Q

prolactin - action and regulation

A

Prepares body for lactation = stimulates growth of secretory alveoli in breast
Inhibits menstrual cycle

Increased secretion by oestrogen and suckling
Decreased by dopamine from hypothalamus

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13
Q

growth hormone

A

Growth hormone
Stimulates growth of long bones and soft tissues

Secretion is increased by hypoglycemia, stress and exercise detected by the hypothalamus which releases GHRH

Somatostatin will inhibit it.
Controlled by negative feedback.

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14
Q

LH/FSH - actin and control

A

Gonadotrophins (LH and FSH)

FEMALES: LH and FSH control follicle development, ovulation and synthesis of sex steroids by ovaries and corpus luteum

MALES: LH controls testosterone production of Leydig cells
FSH stimulates sertoli cells for sperm production

Control varies with different cycles (e.g. menstruation) and inhibited by various hormones (e.g. inhibin inhibits LH in males)

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15
Q

ADH/vasopressin - action and control

A

ADH/Vasopressin
Increases water reabsorption in collecting ducts of kidney
Constricts peripheral arterioles and veins

Controlled by negative feedback detected by hypothalamus:
Increases in reduced blood pressure or high osmolarity

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16
Q

oxytocin - action and control

A

Oxytocin

Causes contraction of breast myoepithelium to eject milk in breastfeeding

Stimulated by suckling

17
Q

embyological origin of pituitary

A

ectoderm

18
Q

describe the development of the anterior pituitary

A

Anterior pituitary/adenohypophysis:

Made of ectoderm

Finger like projection of ectoderm grows upwards from the roof of mouth (these are called Rathke’s pouch)
they form the anterior pituitary

19
Q

describe the development of the posterior pituitary

A

Posterior pituitary/neurohypophysis:

Finger like projection of ectodermal tissue develops downwards from the developing ventral brain

20
Q

CLINICAL: hyperthyroidism

A

o Pituitary adenoma producing TSH.

when this inheritable causes lots of T3/T4 instead of the normal feedback system reducing TSH levels, they remain normal/high - that’s how you know its an issue with the pituitary and not the thyroid