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Endocrine RN
n/a
39
Pathology
Undergraduate 2
02/25/2011

Additional Pathology Flashcards

 


 

Cards

Term
hormones
Definition
chemical messengers
Term
oxytocin
Definition
responsible for uterine contractions during birth
Term
antidiuretic hormone also known as vasopressin
Definition
regulates water retention by the kidneys
Term
Prolactin
Definition
stimulates production of milk
Term
Adrenocorticotropic hormone (ACTH
Definition
stimulates adrenal cortex
Term
Luteinizing hormone (LH
Definition
acts on the ovary and testes
Term
Follicle-stimulating hormone (FSH
Definition
acts on the ovary and testes
Term
acromegaly
Definition
Overproduction of growth hormone in adults. prominent jaws and brows and large hands with a soft, doughy consistency
Term
Sheehan’s pituitary necrosis
Definition
During pregnancy, the pituitary becomes highly vascularized. During birth, an excessive loss of blood may lead to an infarct in the pituitary. This situation is a medical emergency.
Term
tyrosine
Definition
the building block from which the thyroid hormones are synthes
Term
calcitonin
Definition
important role in the metabolism of calcium.
Term
triiodothyronine
Definition
very active, but it is relatively short-lived.
Term
Tetraiodothyronine
Definition
T4 is less active but more stable than T3 and is the more abundant form in the blood.
Term
goiter
Definition
enlargement of the thyroid
Term
Graves' disease
Definition
an autoimmune illness in which antibodies constantly stimulate the gland to produce hormone. exophthalmos (bulging eyes) and indurated (hardened), "woody" skin (sometimes called myxedema), particularly on the shins.
Term
Hashimoto’s thyroiditis
Definition
an autoimmune attack. In this case, however, the gland is destroyed rather than stimulated
Term
follicular adenoma
Definition
A benign tumor of the thyroid.
Term
Papillary carcinoma (60-70% of thyroid malignancies):
Definition
a very indolent, nonaggressive tumor; patients may live for 20 years with it, even if it has metastasized to local cervical lymph nodes.
Term
Anaplastic carcinoma (<5%):
Definition
an extremely aggressive tumor that usually kills within 6 months.
Term
Medullary carcinoma (5-10%):
Definition
which arises from C cells; the other three types arise from the follicular epithelium.
Term
catecholamines
Definition
epinephrine and norepinephrine
Term
glomerulosa
Definition
produces mineralocorticoids (such as aldosterone) that are important for regulating levels of sodium and potassium;
Term
fasciculata
Definition
which produces glucocorticoids (principally cortisol);
Term
reticularis
Definition
which produces sex steroids (androgens and estrogens).
Term
Cushing’s syndrome
Definition
Hyperfunction of the adrenal cortex resulting in overproduction of cortisol
Term
ACTH-dependent
Definition
About 68% of patients with Cushing’s syndrome have Cushing’s disease, which is due to a pituitary adenoma that produces too much ACTH. Another 15% have disease due to ectopic ACTH syndrome, e.g., some lung cancers inappropriately produce ACTH.
Term
ACTH-independent
Definition
Another 9% of cases of Cushing’s syndrome are due to adrenal adenomas and 8% to adrenal carcinomas. These tumors sometimes (not always) produce excessive amounts of cortisol.
Term
Symptoms of Cushing’s syndrome include:
Definition
Redistribution of fat, which increases in the trunk, back of neck, and face ("moon face" and "buffalo hump")
Wasting of extremities due to muscle breakdown, resulting in fatigue
Thin, fragile, easily bruised skin
Immune suppression
Poor wound healing
Osteoporosis, due to increased resorption of bone
Term
Addison’s disease
Definition
Hypofunction of the adrenal cortex
Term
Symptoms of Addison’s disease include:
Definition
A diffuse increase in body pigmentation, including in mucous membranes. This increase occurs because the pituitary gland overproduces ACTH due to the lack of feedback inhibition by cortisol. ACTH is similar to a hormone (melanocortin) that stimulates the pigment-producing melanocytes in the skin.
Hypotension; problems with water and electrolyte balance
Weight loss, anorexia, diarrhea
Term
alpha cells
Definition
which make glucagon
Term
beta cells
Definition
which make insulin
Term
gluconeogenesis
Definition
the process whereby liver cells make glucose from amino acids or other non-glucose precursors.
Term
Microangiopathy
Definition
a term referring to disease of small blood
Term
Nonproliferative retinopathy
Definition
Microangiopathy and ischemia may result in infarcts, aneurysms, hemorrhages, and exudate in the retina.
Term
Proliferative retinopathy
Definition
a condition that is marked by growth of new blood vessels (neovascularization), which are leaky and can cause further scarring.
Term
Rubeosis iridis diabetica
Definition
refers to neovascularization in the iris of the eye. The canal that drains fluid from the eye may become clogged, leading to glaucoma.
Term
Cataracts
Definition
opacities in the lens due to poor water balance
Term
Neuropathy
Definition
due to occlusion of small blood vessels that supply the nerves
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