HPA axis Flashcards

1
Q

what connects the hypothalamus and anterior pituitary

A

hypophyseal stalk

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2
Q

what is the outermost surface of the adrenal cortex?

A

capsule

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3
Q

what does aldosterone do?

A

removes potassium and increases reabsorption of sodium

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4
Q

what is cortisol?

A

steroid stress hormoned

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5
Q

what type of hormones are CRH and ACTH

A

peptide hormones

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6
Q

what does cortisol do?

A
increases BP 
dampens inflammatory response 
prevents wound healing
prevents bone growth
increases blood glucose - gluconeogenesis
mineralocorticoid effect
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7
Q

where is cortisol produced?

A

zona fasiculata

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8
Q

cortisol production over the day

A

uneven
most produced early - morning
lowest at night - when asleep

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9
Q

when should you look for abnormally high levels of cortisol?

A

when it should be lowest

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10
Q

when should you look for abnormally low levels of cortisol?

A

when it should be highest

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11
Q

what is an addisonian crisis?

A

low levels of cortisol

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12
Q

symptoms of addisonian crisis?

A
low BP
tanned skin
low blood sugar 
weakness
vomiting
tired
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13
Q

hypoadrenalism

A

addisonian crisis
lack of cortisol and other hormones produced by adrenal cortex
medical emergency

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14
Q

addison’s disease

A

type of hypoadrenalism/ addisonian - adrenal insufficiency
autoimmune disease
most common cause of

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15
Q

mineralocorticoid

A

e.g. aldosterone - increases sodium and lowers potassium

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16
Q

what happens when there is too much ACTH

A

over production of melanin

17
Q

primary deficiency

A

deficiency of the endocrine gland - specific one

18
Q

secondary deficiency

A

deficiency of pituitary glands

19
Q

tertiary deficiency

A

deficiency of hypothalamus

20
Q

cushing’s syndrome

A

too much cortisol

21
Q

cushing’s disease

A

ACTH producing tumour

22
Q

symptoms of cushing’s syndrome

A
immunocompromised
stretch marks
round mace - moon face
fat pad - buffalo hump
hairy 
weight gain 
fragile skin
23
Q

when can cushing’s syndrome be diagnosed

A

when it has been tried to suppress the HPA axis using steroids

24
Q

pituitary tumour vs other tumour producing ACTH

A

pituitary tumour will respond to a large dose of steroid but other tumours will not as they are unable to respond to steroids

25
Q

dexamethasone

A

strong steroid, cushing’s disease will respond to it