L3 Nuts and Bolts Flashcards

1
Q

Where is the pituitary gland located?

A

sella turcica of sphenoid bone

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2
Q

Two parts of the pituitary gland

A

Adenohypophysis - glandular part - outpouching of ectoderm of oral cavity - Rathkes pouch
TSH FSH LH

Neurohypophysis - neural part- down growth from diencephalon of brain
oxytocin and ADH

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3
Q

Blood circulation to pituitary gland

A

2 Main blood vessels
superior hypophyseal supplies median reminence and upper part of stalk
Inferior hypophyseal supplies the neurohypophysis and lower part of stalk
Arteries supplying the median em and stalk end as capillary plexuses
the capillary plexuses in median eminence and stalk ending are drained by portal veins which pass to ant lobe of pit. veins then form a secondary cap plexus.
this allows route for neurosecretory substances released from the hypothalamus to reach to ant lobe.

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4
Q

How is activity of the pituitary gland controlled?

A

recieves signals from hypothalamus to control its hormone release. from both the adeno and neuro

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5
Q

Describe the structure of the thyroid gland

A

bilobed gland in the neck
2 lateral lobes connected by isthmus that courses anterior to the trachea
derrived from endoderm

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6
Q

Blood supply to thyroid gland

A

supply by superior and inferior thyroid arteries
sup - from ex carotid
inf - from subclavian

Drainage - veins
drain from plexus into IJV and BCV

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7
Q

Parathyroid glands

A

4
2 sup 2 inf
located posterior aspect of thyroid - capsule

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8
Q

Where are parathyroid glands derived from?

A

from cells originating from 3/4th pharnygeal pouches - migrate caudally with the thymus

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9
Q

Why must you preserve the parathyroid glands during thyroidectomy?

A

PTH regulates calcium and phosphate homeostasis
if removed, blood calcium levels fall resulting in muscles including resp muscles and laryngeal go into tetanic contraction leading to death

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10
Q

VAN - parathyroid glands

A

V - sup middle and inf thyroid
A - primarily inf thyroid but also superior
N - middle and cervical ganglions

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11
Q

where are adrenal glands located?

A

superior pole of kidneys
retroperitoneal
T12

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12
Q

where do cortex and medulla of adrenal glands originate from?

A

cortex - mesoderm

medulla - from neural crest cells

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13
Q

Adrenal glands - medulla

A

secretory cells of medulla - chromaffin cells derived from same embryonic tissue as symp ganlgia
the medulla is regarded as modified symp ganglion (ANS)
secrete adrenaline and smaller amounts of nor

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14
Q

Blood supply to adrenal glands?

A

sup middle and inf suprarenal arteries

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15
Q

Why do hormones produced by corticol cells influence activity of cells in the medulla? eg - cortisol mediates mediates NA conversion to adrenaline

A

Because medullary arteries pass through cortex to supply the medulla so recieves blood from 2 sources

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16
Q

How is activity of adrenal glands controlled?

A

under control of hypothalamus (ACTH release from hypophysis)
and symp division of ANS - coeliac plexus and splanchnic nerve
medulla under direct control from ANS = fast response
release initiated by impulses from preganglionic symp fibres that end in chromaffin cells of the medulla
the chromaffin cells release catecholamines into adjacent circulation