Pituitary Disease Flashcards

1
Q

what is the function of the endocrine system?

A

to control hormone secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what does primary failure cause?

A

gland failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what does secondary failure cause?

A

control system failure e.g pituitary failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what does MEN stand for and which type is most important to dentistry?

A

multiple endocrine neoplasia
- MEN2b (mucosal neuromas, medullary thyroid carcinoma, phechromacytoma of adrenal glands)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what controls the pituitary gland?

A

hypathalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

where is the pituitary gland located?

A

sella turcica- base of skull

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

how is the pituitary gland attached to the base of the skull?

A

pituitary stock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what would happen if there was trauma to the pituitary stock?

A

infarction of pituitary gland- failure of many hormone glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how would increased pressure of the pituitary or a tumour affect the optic chiasma?

A

swelling travels upwards towards and compresses the optic chiasma- affects visual fields (gradual not normally noticed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the pituitary gland split into?

A

anterior- vascular
posterior- neurological and vascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what does the anterior part of the pituitary gland control?

A

stimulatory hormones:
-TSH
-adrenal hormones
-growth stimulatory hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does the posterior part of the pituitary gland control?

A

-ADH (kidneys)
-oxytocin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are pituitary tumours called?

A

adenomas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are the two types of adenomas you can get?

A

-functional- uncontrolled production of active hormones

-non functional - no hormones produced

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the function of growth hormones?

A

allow for correct growth in children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how is growth hormone measured?

A

IGF-1 (secreted when GH is secreted)

17
Q

what condition occurs when excess growth hormone is produced before puberty ?

A

giantism

18
Q

what condition occurs when excess growth hormone is produced after puberty ?

A

acromegaly

19
Q

what are the symptoms of acromegaly?

A

PERMENANT CHANGES:
- bossing skull (enlarged supraorbital tissues)
- enlarged soft tissues
- enlarged hands
- enlarged tongue
-enlarged mandible-underbite
-heart grows
-ID spacing
-less efficient heart pump (ischaemia risk?)

20
Q

what does increased growth hormone cause?

A

increased insulin resistance-meaning risk of type 2 diabetes