The thyroid, parathyroid and adrenal glands Flashcards

1
Q

what is the location of the thyroid gland?

A

the thyroid is a butterfly shaped endocrine gland in the front of the neck.

->located either side of the trachea and is two lateral lobes connected by isthmus in front of trachea.

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2
Q

What form does the thyroid store hormones in?

A

stores hormones in the form of colloids

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3
Q

3 functions of the thyroid

A
  1. Regulates BMR
  2. Influences growth and maturation of the nervous tissue
  3. Regulates blood ca level in conjunction with the parathyroid hormone.
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4
Q

what is the thyroid covered by

A

dense irregular connective tissue capsule

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5
Q

what kind of septa

A

thin collagenous

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6
Q

where does the septa extend from

A

capsule into the gland dividing it into lobules

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7
Q

what does the septa carry

A

blood vessels with lymphatic and nerves

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8
Q

what are lobules made up of?

A

spherical masses called follicles (40-60) per lobule.

the thyroid follicle is the structural unit of the thyroid.

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9
Q

What is each follicle lined by?

A

follicular cells

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10
Q

what are follicular cells?

A

normally cuboidal
have a cavity filled with homogenous material called colloid

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11
Q

what do follicular cells secrete?

A

They secrete two hormones that influence the rate of metabolism[23]: T3 (tri-iodothyronine) and. T4 (tetra-iodothyronine or thyroxine)

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12
Q

how do follicular cells vary depending on activity?

A

Inactive follicular lumina are larger; colloid is abundant and appears solid.

In contrast, active follicular lumina are smaller and there is little to no colloid present.

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13
Q

what are the spaces between follicles made up of?

A

connective tissue with numerous capillaries and lymphatics

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14
Q

where are parafollicular cells located?

A

They are located adjacent to the thyroid follicles and reside in the connective tissue.

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15
Q

what are parafollicalar cells also called and what do they secrete?

A

also called C cells, are neuroendocrine cells in the thyroid. The primary function of these cells is to secrete calcitonin.

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16
Q

hormones of the thyroid:

A

T3 (tri-iodothyronine) and

T4 (tetra-iodothyronine or thyroxine)

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17
Q

What is T4 secreted to in the vernal circulation

A

T3

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18
Q

is t3 more potent than t4

A

yes

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19
Q

what do thyroid hormones do?

A

regulate BMR and influence maturation of nervous tissue

20
Q

what are thyroid hormones regulated by?

A

TSH of the pituitary which is regulated by TRH of the hypothalamus

21
Q

what is goitre?

A

enlarged thyroid gland. A goiter may be associated with no change in thyroid function or with an increase or decrease in thyroid hormones.

21
Q

what is calcitonin and what cells secrete it?

A

parafollicular cells secrete calcitonin. which regulate blood ca levels in cojunction with parathyroid hormone. under control of blood ca level.

reduces bone resorption, hence decreases blood ca level.

22
Q

hypothyroidism

A

An underactive thyroid (hypothyroidism) is when your thyroid gland does not produce enough of the hormone thyroxine (also called T4).

symtoms
tiredness
weight gain
depression
being sensitive to the cold
dry skin and hair
muscle aches

23
Q

hyperthyroidism

A

An overactive thyroid, also known as hyperthyroidism or thyrotoxicosis, is where the thyroid gland produces too much of the thyroid hormones.

symtoms
nervousness, anxiety and irritability.
mood swings.
difficulty sleeping.
persistent tiredness and weakness.
sensitivity to heat.
swelling in your neck from an enlarged thyroid gland (goitre)
an irregular and/or unusually fast heart rate (palpitations)
twitching or trembling.

24
Q

what is graves disease?

A

Graves’ disease is an autoimmune condition where your immune system produces antibodies that cause the thyroid to produce too much thyroid hormone. The cause of Graves’ disease is unknown, but it mostly affects young or middle-aged women and often runs in families.

25
Q

what is thyroiditis?

A

Thyroiditis is a general term that refers to “inflammation of the thyroid gland”. Thyroiditis includes a group of individual disorders causing thyroidal inflammation but presenting in different ways.

For example, Hashimoto’s thyroiditis is the most common cause of hypothyroidism in the United States.

26
Q

what is hashimotos?

A

Hashimoto’s thyroiditis is an autoimmune disorder. Normally, your autoimmune system protects your body by attacking bacteria and viruses. But with this disease, your immune system attacks your thyroid gland by mistake. Your thyroid then can’t make enough thyroid hormone, so your body can’t work as well.

27
Q

cells of the parathyroid

A

chief and oxyphil cells

28
Q

what do chief cells secrete?

A

secrete parathyroid hormone which increases serum calcium concentration through its effects on bone, kidney, and intestine.

29
Q

effect of parathyroid hormone on the bone

A

PTH stimulates the release of calcium in an indirect process through osteoclasts which ultimately leads to the resorption of the bones.

30
Q

effect of parathyroid on the kidney

A

Circulating parathyroid hormone targets the distal convoluted tubule and collecting duct, directly increasing calcium reabsorption.

Parathyroid hormone decreases phosphate reabsorption at the proximal convoluted tubule.

31
Q

effect of parathyroid in the gut

A

parathyroid hormone indirectly increases calcium absorption from food in the intestine, via its effects on vitamin D metabolism.

32
Q

hyperparathyroidism

A

Complications of hyperparathyroidism are mainly related to the long-term effect of too little calcium in your bones and too much calcium in your bloodstream. Common complications include: Osteoporosis. The loss of calcium from bones often results in weak, brittle bones that break easily (osteoporosis).

33
Q

what controls the release of Thyroid hormone?

A

thyroid stimulating hormone TSH which is produced in the anterior pituitary

34
Q

where are the adrenal glands located?

A

Adrenal glands are embedded in peri- renal adipose near the superior poles of each kidney.

35
Q

how many layers does the adrenal cortex have?

A

3

36
Q

what does the adrenal cortex secrete?

A

corticosteroid hormones.

37
Q

The adrenal medulla secretes?

A

adrenaline and noradrenaline

38
Q

function of the outer fibrous adrenal capsule

A

The outer fibrous adrenal capsule provides protection.

39
Q

The zona glomerulosa (outer cortex) produces what?

A

produces mineralocorticoids such as aldosterone.

40
Q

The zona fasciculata (outer cortex) produces what?

A

produces glucocorticoids such as cortisol.

41
Q

The zona reticularis produces what?

A

produces weak androgens.

42
Q

what are corticosteroid hormones

A

Corticosteroids are involved in a wide range of physiologic systems such as stress response, immune response, regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte levels, and behavior.

43
Q

Mineralocorticoids function

A

Mineralocorticoids: aldosterone regulates Na+ uptake by renal tubules.

44
Q

Gonadocorticoids are

A

weak androgens. androgen hormones and estrogen. Androgens produced include testosterone, dehydroepiandrosterone, and dehydroepiandrosterone sulfate, which are present in both men and women.

45
Q

Catecholamines

A

hormones made by your adrenal glands, two small glands located above your kidneys. These hormones are released into the body in response to physical or emotional stress. The main types of catecholamines are dopamine, norepinephrine, and epinephrine.