Lecture 38: Thyroid and parathyroid glands Flashcards

1
Q

What cells in the thyroid gland make thyrogloubin TGB?

A
  • follicular cells which secrete iodised TGB into the follicle
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2
Q

What cells secrete calcitonin

A
  • Parafollicular cells - C cells
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3
Q

How is TGB converted to TH?

A

Iodised TGB moves into follicle where is reacts with tyrosine ——> creates storage form of TH

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4
Q

What stimulates the release of thyroid hormones from the thyroid gland?

A

1) Hypothalamus releases TRH
2) Anterior pituitary releases TSH
3) Thyroid gland releases T3 or T4

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5
Q

Thyroid hormones have two forms which are?

A

T3 - active form

T4 - plentiful form

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6
Q

What effect does TH have on the body?

- metabolism

A
  • increases BMR
  • increases glycogenolysis & gluconeogenesis
  • stimulates breakdown of fatty acids
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7
Q

What effect does TH have on the body?

- growth

A
  • stimulates growth in fetus and early childhood
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8
Q

How are Ca+ levels regulated?

A
  • Calcitonin = lowers Ca+

- PTH = increased Ca+

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9
Q

How does Calcitonin lower Ca+?

A
  • decreases bone breakdown
    • Decreases osteoclast activity
      - Increases osteoblast activity
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10
Q

Where is Calcitonin secreted from?

A

Thyroid gland

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11
Q

How does PTH increase Ca+?

- bone

A
  • increased bone breakdown - releases Ca+
    - increase osteoclast activity
    - decrease osteoblast activity
    -
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12
Q

How does PTH increase Ca+?

- kidneys

A
  • increased Ca+ reabsorption

- decreases Ca+ lost in urine

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13
Q

What is graves disorder?

A
  • High TH level = “ drug addict”
  • increased BMR & HR
  • nervous
  • decrease in weight
  • high temperature tolerance
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14
Q

What is Myxedemia disorder?

A
  • low TH level
  • low BMR & HR
  • increased weight gain
  • lethargy
  • decrease temperature tolerance
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15
Q

What is cretinism?

A

low TH level which impairs brain development in children

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16
Q

What is hypercalcemia?

A
  • blood Ca+ too high
  • Na+ channels less responsive
  • Nerve & muscle cells are less responsive/excitable
17
Q

What is hypoglycaemia?

A
  • blood Ca+ too low
  • high excitability of the NS
  • lead to muscle tremors & cramps