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Hypothalamus and Pituitary 1
Downstate > MS2 Endocrine > Hypothalamus and Pituitary (Lecture 3)
40
Medical
Graduate
03/04/2011

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Term
Rathke's pouch
Definition
evagination of ectoderm of primitive buccal cavity; develops into anterior pituitary
Term
development of posterior pituitary
Definition
arises from floor of diencephalon
Term
cavernous sinus contains CN...
Definition
3, 4, 5, 6
Term
anterior pituitary gland is composed of __% chromophobes, __% acidophils, and __% basophils
Definition
50% chromophobes, 40% acidophils, 10% basophils
Term
basophils secrete what hormones?
Definition
FSH, LH, ACTH, TSH [FirstAid]
Term
largest population of anterior pituitary cells are [somatotrophs/corticotrophs/lactotrophs]
Definition
somatotrophis
Term
what cells are located centrally in the anterior pituitary? laterally? scattered?
Definition
central: corticotrophs, thyrotrophs
lateral: lactotrophs, somatotrophs
scattered: gonadotrophs
Term
GNAS
Definition
mutation found in 40% of somatotroph adenomas
Term
what chromosome is MEN on?
Definition
11
Term
what arbitrary number defines macroadenoma vs. microadenoma?
Definition
10mm
Term
mass effect
Definition
headache, bitemporal hemianopsia, CSF rhinorrhea, hyperprolactinemia/galactorrhea
(increase ICP, compression of meninges, compression of chiasma, invasion into ethmoid bone, compression of stalk)
Term
stalk section effect
Definition
compression of stalk inhibits dopamine release -> hyperprolactinemia -> galactorrhea
Term
cavernous sinus syndrome
Definition
compression of CN 3, 4, 5, 6, 7
Term
apoplexy definition and presentation
Definition
necrosis and hemorrhage of tumor, most common in GnRH secreting tumors; presents with an acute onset or worsening of symptoms
Term
most common pituitary tumor
Definition
prolactinoma
Term
Carney complex
Definition
autosomal dominant syndrome of hyperpigmentation, endocrine overactivity, cardiac and skin myxomas
Term
GH -> __ -> dx?
Definition
IGF-1 -> acromegaly or gigantism
Term
MEN-1
Definition
pancreas (gastrinoma, insulinoma), pituitary adenoma, parathyroid hyperplasia
Term
2nd most common pituitary tumor? presentation?
Definition
null tumor. mass effect.
Term
presentation of gonadotropin-secreting pituitary adenoma
Definition
mass effect more common than endocrine effects, large and invasive, apoplexy
Term
least common pituitary adenoma
Definition
TSH secreting
Term
hyperthyroidism without propotosis; dx?
Definition
TSH-secreting adenoma
Term
pituitary adenoma vs. carcinoma is defined by ___
Definition
metastasis
Term
metastatic tumors more commonly invade the [anterior/posterior] pituitary
Definition
posterior pituitary
Term
granular cell tumor arises in the [anterior/posterior] pituitary
Definition
posterior pituitary
Term
intracranial calcifications, Rosenthal fibers; dx?
Definition
craniopharyngioma
Term
hydrocephalus, DI, short stature, hypothyroidism, hypogonadism, hyperPRL, hyperphagia, aseptic meningitis; dx?
Definition
craniopharyngioma
Term
germinoma commonly invades the...
Definition
supra-sellar or intracranial regions
Term
hyperPRL, bitemporal hemianopsia; located at dura; dx?
Definition
meningioma
Term
neuroblastoma commonly located at the sacro-coccygeal region or clivus; dx?
Definition
chondroma
Term
Sheehan's syndrome
Definition
post-partum apoplexy that causes pan-hypopituitarism
Term
pathogenesis of lymphocytic hypophysitis
Definition
anterior pituitary polyclonal lymphocytic infiltrate and fibrosis; autoantibodies targets ACTH most commonly; occurs post-partum or during pregnancy
Term
empty sella syndrome: pathogenesis of primary vs. secondary
Definition
primary: patent sellar diaphragm allows arachnoid to grow into and compress pituitary; clinically silent
secondary: destruction of pituitary pulls arachnoid in and compresses it further
Term
histology of Rathke's cleft cyst
Definition
cysts are lined by ciliated columnar and goblet cells
Term
pathology of giant saccular aneurysm
Definition
>2.5cm in diameter, connected to Circle of Willis
Term
diencephalic syndrome clinical presentation
Definition
emaciation despite food intake
Term
granular cell tumor clinical presentation
Definition
visual defects, DI
Term
3 types of SIADH
Definition
euvolemic, hypovolemic, and edematous
Term
psammomatous melanotic schwannomas
Definition
Carney complex
Term
mutations in chromosomes 2 and 17 encoding PKA
Definition
Carney complex
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