Shared Flashcard Set

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Endocrine
endocrine pathophysiology
19
Other
Post-Graduate
03/16/2016

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Cards

Term
Lobes of Pituitary Gland
Definition

Adenohypophysis (anterior lobe)

Neurohypophysis (posterior lobe)

Term
What gland controls pituitary gland activity?
Definition
Hypothalamus
Term
What hormones are positive releasing factors secreted from the adenohypophysis (anterior lobe)?
Definition

TSH (thyroid stimulating hormone)

ACTH (adrenocorticotropic hormone)

FSH (follicle stimulating hormone)

LH (luteinizing hormone

GH (growth hormone)

Term
What hormones are negative releasing factors secreted from the adenohypophysis (anterior lobe)?
Definition

PRL (prolactin)

GH (growth hormone)

Term
What hormones are released by the hypothalamus that are positive releasing factors impact the adenohypophysis?
Definition

TRH (thyroid releasing hormone)

CRH (corticotropin releasing hormone)

GnRH (gonadatropin releasing hormone)

GHRH (growth hormone releasing hormone)

Term
What hormones are released by the hypothalamus that are negative releasing factors impact the adenohypophysis?
Definition

PIF (prolactin inhibiting factor or dopamine)

GIH (growth inhibiting hormone)

Term
What neurohypophysis hormones (posterior lobe) are positive releasing factors?
Definition

Oxytocin

ADH (antidiuretic hormone)

Term
What is the most common cause of hyperpituitarism?
Definition
Adenomas of the anterior lobe (adenohypophysis)
Term
What is the most frequent pituitary adenoma?
Definition
Prolactinoma
Term
What are the signs and symptoms of prolactinoma and how is it treated?
Definition

Amenorrhea, galactorrhea, decreased libido, infertility

 

Bromocrtiptine or surgery

Term
Name 2 posterior pituitary syndromes?
Definition

Diabetes Insipidus

 

Syndrome of Inappropriate ADH (SIADH)

Term
Characteristics of Diabetes Insipidus
Definition
  • Almost always d/t hypothalamus origin
  • ADH deficiency (central DI) vs renal tubular unresponsiveness to ADH (nephrogenic DI)
  • Excessive urination d/t inability to reabsorb H2O from urine
  • ↑Na+ and ↑osmolality
Term
Characteristics of SIADH (syndrome of inappropriate ADH)
Definition
  • Resporption of excessive H2O
  • Can be caused by small-cell lung CA, drugs, & CNS disorders
  • ↓Na+, cerebral edema, neurologic dysfunction
Term
What is hypopituitarism?
Definition
  • ↓ secretion of pituitary hormones d/t diseases of hypothalamus and/or pituitary

 

Term
What causes hypopituitarism?
Definition
  • tumors and other mass lesions
  • traumatic brain injury
  • pituitary surgery or radiation
  • pituitary apoplexy (hemorrhage in pituitary)
  • ischemic necrosis of pituitary (Sheehan syndrome)
  • Rathke cleft cyst
  • empty sella syndrome
  • genetic defects
  • hypothalamic lesions
  • inflammatory disorders
Term
What does growth hormone deficiency lead to?
Definition
pituitary dwarfism
Term
What does gonadtropin deficiency cause?
Definition

amenorrhea, infertility (women)

 

decreased libido, impotence, decreased axillary/pubic hair (men)

Term
TSH/ACTH deficiency will cause . . .
Definition

TSH - hypothyroidism

 

ACTH - hypoadrenalism

Term
Prolactin deficiency will lead to . . .
Definition
decreased postpartum lactation
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