SUPRARRENALES Flashcards

1
Q

ORIGEN

A

Corteza - Mesodermo

Medula - Cresta neural

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2
Q

Restos corticosuprarrenales

A

Ovarios y testiculos

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3
Q

que produce las suprarrenales

A

Medula - EPi/norepinefrina

Corteza: aldosterona, cortisol, androgenos y estrogenos

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4
Q

Causas insuficiencia suprarrenal primaria

A
  • Autoinmune
  • TB
  • Micosis
  • Hemorragia
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5
Q

Resulta de la sobreproducción hipofisiria de ACTH, dando hiperplasia suprarrenal

A

Enfermedad de Cushing

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6
Q

Causa mas comun de síndrome de Conn

A

Adenoma unilateral en el 85%

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7
Q

Diferencias entre hiperaldosteronismo primario y secundario

A

Primario - Renina normal o baja

Secundario Renina alta

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8
Q

Tratamiento médico hiperaldosteronismo

A

Espirinolactona

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9
Q

tumores con actividad funcional que surgen del tejido cromafín derivado de cresta neural

A

Feocromocitoma

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10
Q

la mayoria de feocromocitomas son

A

benignos 90%

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11
Q

Regla de los 10 del feocromocitoma

A

10% bilateral, maligno, extrasuprarrenal, multiple, familiar e infantil

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12
Q

Diagnóstico feocromocitoma

A

Valores urinarios de metanefrina y VMA

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13
Q

Que debe incluir el tratamiento prequirurgico para feocromocitoma

A

Boqueo alfa (fenoxibenzamina) y beta adrenergico (propanolol)

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