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endocrine system
na
25
Pathology
Undergraduate 2
01/25/2011

Additional Pathology Flashcards

 


 

Cards

Term

 

Endocrine System Functions
Definition

 -Response to stress or injury (HPA axis)

-Growth and development (HPA axis)
-Reproduction (HPG axis)
-Energy metabolism (thyroid and pancreas)
-Fluid and electrolyte balance (ADH, aldosterone, PTH)
 HPA axis = hypothalamic-pituitary-adrenal axis
-Immune response
Term
Endocrine Disease
Definition

1)Alterations in hormone concentration (deficiency or excess)

2)Alterations in receptor function/postreceptor mechanisms (classic example of this is type II diabetes).
-Decrease in # of receptors
-Receptor insensitivity
-Ab against specific receptor
-Receptor dysfunction
-Deficiency
Term

 

 

Up regulation

Definition

 

When more hormone receptors are added to the target cell over a period of time.

Term

 

 

Down regulation

Definition

 

When hormone receptors are depleated from the target cell over a period of time.

Term

 

Excessive or Deficient  

Definition
 Most specific endocrine diseases can be understood conceptually in terms of the metabolic actions of the hormones involved, resulting in either ______ or ________hormone production or action.
Term
anterior and posterior
Definition
two components of the pituitary gland
Term

 

panhypopituitarism
Definition

 Pituitary insufficiency typically affects all the hormones secreted by pituitary

 
Causes include removal/destruction or necrosis of the pituitary and destruction of the hypothalamus
Term
Hyperprolactinemia
Definition

 most common cause, other than pregnancy, is a benign pituitary tumor secreting prolactin

In women--amenorrhea, galactorrhea
In men--impotence (ED), ↓libido, infertility; visual disturbance, headache
Term
Pituitary disorder
Definition

 

Hypersecretion of GH (gigantism and acromegaly)
Term
ADH deficiency
Definition
 Most common posterior pituitary disorder is ____ ______ caused by head trauma, surgical injury of the pituitary, or inflammatory or neoplastic lesions of the hypothalamus or pituitary
Term
ADH deficiency
Definition

 

Manifests as diabetes insipidus (central rather than nephrogenic)
Polyuria, polydipsia, and hyperosmolality of blood
Term

 

Gigantism and Acromegaly
Definition

 

Results from pituitary adenomas oversecreting GH
Term
Gigantism
Definition
childhood oversecretion of GH
Term
Acromegaly
Definition

Adult oversecretion of GH

characterized by:

-Course facial features
-Enlarged mandible
-Thick ears and nose
-Enlarged spade-like hands and feet
-Enlarged tongue
-Deep husky voice
-Spinal deformities
  Treatment: somatostatin, surgery
Term
Thyroid
Definition

 

________ hormones [tri-iodothyronine (T-3) and thyroxine (T-4)] regulate our body's metabolism and influence virtually every organ system in the body. 
Term
Thyroid Hormone (TH)
Definition

 

The major effect is stimulation of cellular metabolism & heat production.
Term
Hyperthyroidism
Definition

 

too much thyroid hormone
Term

Graves' Disease

 

 

Toxic Nodular Goiter

Definition

 The most common underlying cause of hyperthyroidism is ______  ____(an autoimmune disease).

Another cause is _____________where a single nodule overproduces thyroid hormones.
Term
Graves' disease
Definition

 

Form of autoimmune thyroiditis; Women are seven times more likely to develop than men.
Term
Graves' Disease
Definition

 Symptoms are typical of hyperthyroidism:

-inflammation of the tissues around the eyes, causing swelling (exophthalmos)
-thickening of the skin over the lower legs (pretibial myxedema).
sweating,weight loss, tachycardia,anxiety,restlessness)
-Hypermetabolism (heat intolerance,
-Enlarged thyroid-excess thyroid hormones (T-3, T4)
Term
Graves' Disease
Definition

 

Caused by an IgG antibody acting directly on follicle cells of the thyroid (causes hyperplasia and ↑synthesis of TH)
Out of TSH control-TH synthesized irrespective of need, no negative feedback
Term

 

exophthalmos
Definition

 

inflammation of the tissues around the eyes, causing swelling
Term

 

pretibial myxedema
Definition

 

thickening of the skin over the lower legs
Term
Hypothyroidism
Definition

 

is a condition in which
the thyroid gland doesn't produce enough T-3 and T-4 (underactive thyroid).
Term
Hypothyroidism
Definition

 Symptoms: fatigue, muscle weakness, constipation, weight gain, depression, brittle nails & hair, puffy face, cold sensitivity Increased, hoarse voice, peripheral neuropathy, goiter

Causes: most common is Hashimoto'sthyroiditis,an autoimmune disorder. Othercauses include lithium,radiation,
insufficient TSH, iodine deficiency. Most common in middle- aged women and tends to run in families.
Treatment: daily use of the synthetic thyroid hormone levothyroxine [T-4] (Levothroid, Levoxyl, Synthroid).
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