Topic 2 Endocrine System Dysfunction. Flashcards

1
Q

LO 1. Describe endocrine tissue / organs and the hormones they produce:

A

.

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2
Q

LO 1. Hypothalamus

A
  • Corticotropin Releasing Hormone (CRH)

- Thyrotropin Releasing Hormone (TRH)

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3
Q

LO 1. Anterior Pituitary Gland

A
  • Growth Hormone (GH)
  • Adrenocorticotropic Hormone (ACTH)
  • Thyroid-Stimulating Hormone (TSH)
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4
Q

LO 1. Posterior Pituitary Gland

A
  • Antidiuretic Hormone (ADH)

- Oxytocin

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5
Q

LO 1. Adrenal Cortex

A
  • Aldosterone

- Cortisol

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6
Q

LO 1. Adrenal Medulla

A
  • Epinephrine

- Norepinephrine

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7
Q

LO 1. Thyroid Gland

A
  • Thyroid hormones T3 & T4

- Calcitonin

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8
Q

LO 1. Parathyroid Gland

A
  • Parathyroid Hormone
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9
Q

LO 2. What is the target tissue & effect of Thyroid Releasing Hormone (TRH)?

A
  • Anterior Pituitary Gland.

- Stimulates release of Thyroid Stimulating Hormone (TSH).

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10
Q

LO 2. What is the target tissue & effect of Thyroid Stimulating Hormone (TSH)?

A
  • Thyroid Gland.

- Stimulates release of Thyroid Hormones T3 & T4 (.

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11
Q

LO 2. What is the target tissue & effect of Thyroid Hormones T3 & T4?

A
  • ALL Tissues of the body.
  • control of basel metabolic rate e.g. shiver.
  • stimulates protein synthesis (growth).
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12
Q

LO 3. Describe Growth Hormone deficiency:

A
  • “hypopituitarism”: associated w’ same symptoms as metabolic syndrome:
  • insulin resistance, dyslipidemia….
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13
Q

LO 3. Describe Growth Hormone excess:

A
  • In Children = gigantism

- In Adults = acromegaly

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14
Q

LO 3. Describe Thyroid Hormone deficiency:

A
"Hypothyroidism";
- basel metabolic rate decreases.
- GOITRE = enlarged thyroid forms.
- deep voice, bradycardia, weight gain.
# congenital hypothyroidism = cretinism.
# acquired hypothyroidism = myxedema.
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15
Q

LO 3. Describe Thyroid Hormone excess:

A

“Hyperthyroidism” (thyrotoxicosis);

  • basel metabolic rate increases.
  • “Graves Disease” is the most common cause.
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16
Q

LO 3. Describe Glucocorticoids deficiency:

A

“Addisons Disease”

  • hypotension, weight loss…
  • hypoglycaemia, fever…
17
Q

LO 3. Describe Glucocorticoids excess:

A

“Cushings Syndrome”

  • hypertension, fat pads… moon face.
  • hyperglycaemia
18
Q

LO 4. Describe the role of Insulin:

A
  • produced by beta-cells of islet of langerhans (pancreas)
  • promotes glucose uptake by target cells.
  • inhibits gluco-neo-genesis
  • released when BGL is HIGH.
19
Q

LO 4. Describe the role of Glucagon:

A
  • produced by Alpha-cells of islet of langerhans (in pancreas)
  • maintains blood glucose between meals & during fasting by facilitating glycogenolysis & gluco-neo-genesis.
  • released when BGL is LOW.
20
Q

How does Diabetes Mellitus result from inappropriate insulin signalling?

A

DM arises when an imbalance occurs & the body fails to produce or respond to insulin.
i.e. DM = poor glucose regulation = dysfunction of the Pancreas.

21
Q

What are DM manifestations?

A
  • inability to transport glucose into fat & muscle cells - cells are starved, so breakdown of fat & protein is increased.
22
Q

Define Type 1 Diabetes?

A

= Insulin dependant.

- pathological loss of pancreatic B-cells due to autoimmune condition: genetic, viral or idiopathic.

23
Q

What are Type 1 DM manifestations?

A
  • severe hyperglycaemia
  • ketogeneis
  • dehydration
  • acidosis (ketones)
24
Q

Define Type 2 Diabetes?

A
  • resistance to or dysfunction in insulin signalling in muscle & fat cells.
  • associated w’ lifestyle & obesity
25
Q

What are Type 2 DM manifestations?

A
  • peripheral insulin resistance results in compensatory high plasma insulin level to maintain BGL.
  • Metabolic syndrome = at least 1 of the following: Hypertension, obesity, hypre-triglycerides, low HDL, microalbuminuria
26
Q

Define: “…genesis”

A

= to synthesis (convert)

  • Lipo-genesis = converts excess glucose to fat stores.
  • Glyco-genesis = the synthesis of glycogen from glucose.
  • Gluco-neo-genesis = convert amino acids into glucose.
27
Q

Define: “…lysis”

A

= to breakdown.

  • Lipo-lysis = fat (store) breakdown
  • Glycogeno-lysis = breakdown of glycogen to glucose.
  • Glycolysis = metabolic pathway that converts glucose to pyruvate (aerobic) or lactic acid (anaerobic).
28
Q

Define: acidosis

A

= increase in acidity of the blood

29
Q

Define: ketosis

A

= an accumulation of ketones in the blood

ketones = Acidic substances that are produced when the body breaks down and uses fat, instead of sugar, for energy