Pituitary disease Flashcards

1
Q

What is the brain’s endocrine gland?

A

-Pituitary

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2
Q

What does the pituitary secrete through?

A

-Blood Brain Barrier

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3
Q

What does the anterior pituitary do?

A
  • Portal circulation from hypothalamus

- Sends releasing factors

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4
Q

What does the posterior pituitary do?

A

-Axons go into systemic circulation such as ADH and Oxytocin

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5
Q

What do FSH and LH regulate?

A

-All aspects of ovulation

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6
Q

What is GH an antagonist to and what effects does it have?

A
  • Insulin

- Anabolic effects

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7
Q

What is GIH known as?

A

-Somatostatin

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8
Q

What does GIH do?

A

-Inhibit the release of GH from the pituitary

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9
Q

What does Dopamine do for lactation?

A

-Inhibits lactation by stopping the release of Prolactin from the pituitary

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10
Q

What is Klinefelter’s syndrome?

A
  • XXY
  • Hypogonadism
  • .5% incidence
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11
Q

What causes the release of FSH or LH?

A

-GNRH

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12
Q

What age of people are pituitary adenomas most common in?

A

-40-70 yrs old

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13
Q

What can excess GH do if there is an adenoma in the pituitary?

A
  • Cause Gigantism if before puberty

- Cause acromegaly (bones trying to grow but they can’t get longer, they just get bigger and thicker) if after puberty

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14
Q

A Pituitary adenoma often puts pressure on the optic chiasma and causes what?

A

-Loss of lateral visual fields

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15
Q

What are the four common kinds of adenomas in the pituitary?

A
  • Prolactinoma
  • Growth Hormone
  • Null cell
  • Cortiocotroph
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16
Q

If you have a corticotroph adenoma what does that cause?

A

-Cushings disease (Over activity of the adrenal cortex via pituitary stimulation)

17
Q

What happens with a prolactionma?

A
  • Hypogonadism

- Affect reproduction functions

18
Q

What is the most common hyperfunctioning adenoma?

A

-Prolactinomas

19
Q

what is the most common childhood pituitary adenoma?

A

-Growth hormone adenoma

20
Q

What is the most common cause of Hypopituitarism?

A

-Non-secretory pituitary adenomas

21
Q

What are the consequences of Hypopituitarism?

A
  • Loss of sex-characteristics - sterility
  • Retard growth in children
  • Hypothyroidism
22
Q

What are the consequences of inappropriate ADH secretion from the pituitary?

A
  • Alters kidney function volume (water) expansion
  • Hyponatremia
  • Hemodilution
23
Q

What are the causes of inappropriate ADH secretion from the pituitary?

A
  • Metastasized carcinoma

- CNS infection