suprarenal gland Flashcards

1
Q

suprarenal gland is a () gland that secretes into ()

A

ductless endocrine gland, into blood stream

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2
Q

where is the suprarenal gland

A

superomedially on pole of each kidney

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3
Q

supra gland is ()peritoneal

A

retroperitoneal

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4
Q

supra gland has capsule of

A

perinephric fascia

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5
Q

two layers of supra gland

A

cortex, medulla

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6
Q

shape of right gland

A

pyramidal

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7
Q

shape of left gland

A

crescentic

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8
Q

what are the layers of the cortex of supra gland

A

zona glomerulosa, z fasciculata, z reticularis

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9
Q

what does z glomerulosa secrete and example

A

mineralocorticoids ex: aldosterone

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10
Q

what does aldosterone do

A

acts on kidneys by increasing renal reabsorption of sodium so maintains water and electrolyte balance (conserve sodium)

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11
Q

what does z fasciculata secrete and ex

A

glucocorticoids ex: cortisol

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12
Q

what does cortisol do

A

moblizes carbs and fats
increase blood glucose levels cause it converts glycogen to glucose

it favors gluconeogensis

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13
Q

what is gluconeogensis

A

production of glucose from proteins and fats

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14
Q

what does z reticularis secrete and ex

A

sex hormones ex: androgen and estrogen

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15
Q

estrogen is degraded by the () and () overrides it so thats why men get ()

A

liver, testosterone, gynocomastia

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16
Q

why women get mustach after menopause

A

cause they have less estrogen and liver is degrading it

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17
Q

medulla secertes and example

A

catecholamines ex: norepinephrine and epinepherine

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18
Q

sympathoneumatic whats part of it

A

sympathetic responses from norepinephrine and epinephrine

mimics mind

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19
Q

what happens when get heart transplant and excercise

A

nerve supply cut off, rely on nodes, if excercise get increased heart rate and itll take long time to slow down cuase hormones goin to blood not immediate like nerves

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20
Q

blood supply of the supra glands

A

superior suprarenal a, middle suprarenal , inferior suprarenal a

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21
Q

the superior suprarenal a is a branch of the

A

inferior phrenic

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22
Q

the middle suprarenal a branch of

A

abdominal aorta

23
Q

the inferior suprarenal a is branch of

24
Q

veinous drainage of supra gl

A

right suprarenal vein, left suprarenal v (only one pair of v)

25
the right suprarenal v drains into
IVC
26
theleft suprarenal v drains into
left renal v
27
lymph of suprarenal gland drains into
para-aortic lymph nodes (nexts to aorta)
28
why does the left suprarenal v drain into the left renal v
cause ivc is more on the right side
29
nerve supply of the suprarenal gland medulla
abdominopelic lesser, least (t10-L1) splanchnic fibers (preg symp)
30
nerve supply of supra gland cortex
vasomotor nerve (also symp) by following blood vessels
31
adrenal medulla cells are
modified post g symp neurons (they dont have axons or dendrites) and stimulated to produce neuroepin and epin
32
preg para and symp both secrete
acetylocholine
33
post gang symp secretes
epinepherine
34
post gang para secretes
acetylcholine
35
some nerves go directly to the () and dont synapse at the ganglion
adrenall medulla
36
aldosteronism
increased secretion of aldosterone either from atumor of adrenal gland or pituitary gland producing too much acth
37
acth tells glands to secrete more
aldosterone
38
2 kinds aof aldosteronism
primary and secondary aldosteronism
39
what is primary aldosteronism
where problem occurs within adrenal cortex (like a tumor)
40
what is secondary aldosteronism
where problem is from pituitary gland and produces too much acth tha affects adrenal cortex
41
what does acth stand for
adrenalcorticotropic hormone
42
what happens with aldosteronism when have increase aldosterone secretion
1. increased sodium retention and postassium excretion | 2. that leads to hypertension and decreased muscle and neuron response to stimulation
43
what does aldosterone affects
renal tubules so sodium is more absorbed (hypertension) and potassium excreted (decreased muscle responses) to maintain electroneutrality
44
what does the doc tell patient to do with aldosteronism
they are taking diuretics and to start eating bananas cause feel weak
45
congenital adrenal hyperplasia
androgens too much in unborn child affecting external genitallia
46
what happens to agirl baby that has cah
clit enlarges to be like a penis and labia majora closes also hirutism, baldness, androgenic flush, small breasts, male escutcheon
47
hirsutism is
increase facial hair/body hair
48
androgenic flush
redness of skin
49
male escutcheon
happy tail
50
Cushing's syndrome
hypersecretion of glucocorticoids
51
what does hypersection of glucocorticoids mean
increased blood sugar level so it increase fat deposit
52
affects of cushing's
moon face, buffalo hump (fat on back), pendulous abdomen, striae (stretch marks), poor wound healing (glucose acts as good culture for bacteria), poor muscle development (cause muscle protein is converted to sugar leading to muscle atrophy), decreased life span
53
addison's disease is
decreased secretion of glucocorticoids
54
what is the affects of addison's disease
hyperpigmentation because glucocorticoids level sends asignal to gland to produce more acth which has affect of melanin production