Hyperadrenocorticism Flashcards
80% of CRH comes from
Pars distalis of adenohypopsis
20% of CRH comes from
Pars intermedia
Posterior Pituitary produces
ADH and oxytocin
Anterior pituitary releases
ACTH, GH, TSH, FSH, MSH, and prolactin
Anterior pituitary releases
ACTH, GH, TSH, FSH, MSH, and prolactin
Stress stimulates hypothalamus to release
CRH
CRH stimulates release of
ACTH
ACTH stimulates adrenal glands to release
Glucocorticoids
What part of the adrenal cortex structure produces steroids
Zona fasciculata
Glomerulosa produces
Mineralcorticoids
Reticular is produces
Sex steroids
Regulation of aldosterone is under influence of
Potassium
ACTH stimulates teh adrenal to make
Cortisol
Excessive cortisol causes
Glucose sparing, increase lypolysis, increase glucofenesis and decrease protein systhesis
Angiotensin 2 stimulates the adrenal gland o make
Aldosterone
ACTH stimulates teh adrenal to maek
cortisol
target organ of aldosterone is
kidney
aldosterone affect on Na
increases absorption
aldosterone affect on K
increases excretion of K
aldosterone affect on H
increases excretion H
3 types of hyperadrenocorticism
Pituitary depend, Adrenal dependet, and iatrogenic
what sex is more likely to have cushings in dogs
female
median age of dogs with cushings
9 - 11 years
cats with cushings usually also have
diabetes
Signalment for Pituiary dependent cushings
smaller toy breeds
signalment for ADH
50 - 50 small to large
common clinical signs of cushings
PU/PD, polyphagia, panting and pot belly
with cushings what significant CBC do we find
stress leukogram
what do ultrasound look like in PDH
normal to large adrenals
what do ultrasound look like in ADH
1 big and 1 small, vascular invasion, retroperitoneal hemmorhage
what is most common form of hyperadrenocorticism
pituitary dependent
PDH casues what acth
increased
ADH causes what Acth
decreased
which is independet of ACTH
ADH
adrenal rumor will
produce excess cortisol
pituitary tumor will
increase ACTH and cortisol
adrenal tumor will end up leacing to
decreased ACTH
most cats have what type of cushings
PDH
key presenting signs for cats with PDH
Diabetes mellitus, alopecia, thin fragile skin
what fraction of cats with HAC have skin fragility
1/3
weight loss in cats is when
unregulated DM and concurrectHAC
weight gain in cats is when
unregulated DM and acromegaly