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Endocrine
Endocrine system notecards
35
Physiology
Professional
07/14/2011

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Term
cyclopentanoperhydrophenanthrene nucleus
Definition
4 ring structure base of all steroids
Term
Acromegaly
Definition
pituitary tumor that causes overproduction of GH after epiphyseal growth plates are closed. Assoc with large features
Term
Gigantism
Definition
overproduction of GH before epiphyseal plates close. Causes very tall and sxs like acromegaly if not treated before plates close
Term
Dwarfism
Definition
due to pituitary. little growth hormone and IGF-1
Term
Laron Dwarfism
Definition
receptor defect to GH and low IGF-1, so high levels of GHRH and growth hormone
Term
PCOD
Definition
polycystic ovarian disease – related to stress levels
Excess androgen secretion from ovarian or adrenal tumor
Causes masculinization, lack of menstruation, high estrone levels which cause low FSH so no estradiol, so low LH, so no ovulation
Term
Rickets
Definition
Vitamin D deficiency before epiphyseal plates close. Causes poor bone mineralization
Term
Kallman's disease
Definition
GnRH fails to migrate to hypothalamus, so no GnRH, no LH or FSH, so appear womanly
Term
Osteomalacia
Definition
vitamin D deficiency after epiphyseal plates close. Causes poor bone mineralization.
Term
precocious puberty
Definition
overactive hypothalamus causes premature activation of LHRH neurons so early testosterone release and early puberty
Term
Androgen resistance syndrome/testicular feminization
Definition
XY, Phenotypic female
Androgen receptor defect – have male reproductive organs but female brain and no descent of testes, good breast development due to aromatase enzyme, no vaginal pouch, no menstrual cycle
Term
Graves disease
Definition
autoimmune that activates TSH receptors. High T3 and T4, low TSH
Bug eyed due to edema, hypertension, heat intolerant, increased anxiety, possible goiter, increase activation of sebaceous glands
Term
Myxedema
Definition
adult insufficiency of thyroid hormone production. Increased fat, cold intolerant, hypotension, fatigue
Term
Creatinism
Definition
neonatal insufficiency of thyroid hormones production. Mental retardation, deficit growth, dry skin
Term
Cushings Disease
Definition
pituitary tumor that over secretes ACTH. Overproduce cortisol, causing moon face, buffalo hump, central obesity, high BP, stria (stretch marks from tissue break down
Term
Cushings syndrome
Definition
Adrenal tumon overproduce cortisol, causing moon face, buffalo hump, central obesity, high BP, stria (stretch marks from tissue break down
Term
CAH
Definition
congenital adrenal hyperplasia. deficiency in 21-α-hydroxylase or 11-β-hydroxylase, so no cortisol or aldosterone and high testosterone. Causes clitoromegaly in females. Treated with cortisol.
Term
Addison's disease
Definition
produce too little cortisol so cant tolerate excessive stress because cant compensate for drop in blood glucose and decreased blood volume. Low cortisol causes less inhibition on CRH, so high breakdown of ACTH – MSH causes skin pigmentation
Term
Pregnane, Antrostane, Estrane
Definition
21 carbons, 19 carbons, 18 carbons
Term
StAR protein
Definition
rate limiting step in moving cholesterol from cytosol to mitochondria
cAMP dependent
Term
scatchard plot
Definition
steeper slope is higher affinity for binding protein
curved graph means two receptors with different affinities
Term
Kd
Definition
hormond bound = (MAX x [hormone]) / (Kd + [hormone])
Term
homodimer nuclear receptors
Definition
Androgen, Estrogen, Glucocorticoid, Menteralocorticoid, progestin
Term
heterodimers
Definition
also require 9-cis retanoid acid to bind RXReceptor
Term
DNA binding pallindrome w/ space
Definition
Glucocorticoid, Mineralocorticoid, Progesterone, Androgen, Estrogen
Term
DNA binding pallindrome w/o space btw
Definition
Testosterone
Term
DNA binding Direct repeats
Definition
3 repeat - VDR, 4 repeat - TR, 5 repeat - RAR
Term
heat shock proteins
Definition
need to be removed from DNA binding site before can bind to DNA
Term
Zona glomerulosa
Definition
Aldosterone secretion, controlled by renin-angiotensin - no hypothalamic feedback
Term
zona fasciculata
Definition
Cortisol secretion, controlled by ACTH
Term
Zona reticularis
Definition
androgen/DHEA secretion, controlled by ACTH
Term
Primary hypogonadism
Definition
fail to develop secondary sex characteristics - due to genetic deficiency in enzyme for testosterone production
Term
Secondary hypogonadism
Definition
testicular failure due to defective secretion of gonadotropins (cant make LH)
Term
5alpha reductase deficiency
Definition
external female, internal male - masculinization at puberty
Term
CAIS - complete androgen insensitivity syndrome/testicular feminization syndrome
Definition
absence of androgen receptors in XY. external female, testes secrete testosterone. pretty sure causes enlarged breasts
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