Pituitary Disease Flashcards

1
Q

what is the definition of an endocrine disease?

A

a dysfunction of hormone secreting glands

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2
Q

what system of regulation occurs in patients with endocrine disease?

A

negative feedback regulation

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3
Q

there are two branches of endocrine diseases, what are they?

A
  • primary

- secondary

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4
Q

what is meant by primary endocrine disease?

A

GLAND failure of the endocrine system

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5
Q

what is meant by secondary endocrine disease?

A

CONTROL failure of the endocrine system

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6
Q

where is the pituitary gland located?

A

found in a small depression in the middle of the skull base

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7
Q

what specific problem can occur when the pituitary gland increases in size/grows?

A

any growth will head upwards (due to the surrounding bone) and cause trauma & pressure on the optic chiasm, affecting vision

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8
Q

what type of control does the pituitary fall under?

A

hypothalamic control

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9
Q

what hormones are released from the ANTERIOR pituitary?

A
  • thyroid stimulating hormone
  • adrenocorticotrophic hormone
  • growth hormone
  • prolactin
  • LH & FST
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10
Q

what hormones are released from the posterior pituitary?

A
  • anti-diuretic hormone

- oxytocin

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11
Q

what type of tumours tend to occur on the pituitary gland?

A
  • functional adenomas

- non functional adenomas

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12
Q

what is the difference between functional and non-functional pituitary adenomas?

A
  • functional adenomas = produces an active hormone

- non functional adenomas = do not produce active hormone (space occupying tumour)

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13
Q

what tends to occur as a result of non functional pituitary adenomas?

A
  • visual field defects

- other hormone deficiencies

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14
Q

how are pituitary tumours removed?

A

trans-sphenoidal surgery (enter through the nose)

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15
Q

what occurs if there is insufficient growth hormone in children?

A

growth failure

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16
Q

what occurs if there is insufficient growth hormone in adults?

A

metabolic changes occur (increased fat, reduced vitality)

17
Q

how is growth hormone released?

A
  • hypothalamus releases GHRH
  • GHRH stimulates the anterior pituitary
  • growth hormone is then released from anterior pituitary
18
Q

what occurs if there is excess growth hormone in kids?

A
  • ‘giantism’

- long bones etc grow at a rapid rate

19
Q

what occurs if there is excess growth hormone in adults?

A

acromegaly

20
Q

what are the clinical features of acromegaly?

A
  • coarse features
  • enlarged supra-orbital ridges (above brow)
  • broad nose, thickened lips and soft tissues
  • enlarged hands
  • mandibular growth
  • T2 diabetes
  • CV diseases
21
Q

why might T2 diabetes occur in patient with acromegaly?

A

insulin resistance from increased GH levels

22
Q

what CV disease is common in patients with acromegaly?

A
  • acromegalic cardiomyopathy

- heart itself grows and becomes less efficient as a pump

23
Q

what DENTAL features may present in a patient with acromegaly?

A
  • enlarged tongue
  • interdental spacing
  • reverse overbite
  • occlusal changes
  • ‘shrunk’ dentures
24
Q

why does the mandible continue to grow in patients with acromegaly?

A

growth plate in mandible doesn’t shut (condyle)