Endocrine System Overview

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Questions and Answers

What is the master gland?

Pituitary Gland

What are the two parts of the pituitary gland?

  • Anterior pituitary and Posterior pituitary (correct)
  • Inner Medulla and Outer Cortex
  • Epinephrine and Norepinephrine
  • Alpha cells, Beta cells, Delta cells

What does the anterior pituitary secrete?

Growth Hormones (GH) or Somatotropin, Prolactin (Mammotropic, Lactotropic, Luteotropic), Gonadotropic hormones (LH & FSH), Thyrotropic hormone (TSH), Andrenocorticotropic hormones (ACTH)

What does the thyroid secrete?

<p>Thyroxine (T4), Triiodothyronine (T3), Thyrocalcitonin</p> Signup and view all the answers

What are the two regions of the adrenal gland?

<p>Inner Medulla and Outer Cortex (C)</p> Signup and view all the answers

What does the inner medulla secrete?

<p>Catecholamines epinephrine and norepinephrine.</p> Signup and view all the answers

What does the outer cortex secrete?

<p>Glucocorticoids and mineralocorticoids.</p> Signup and view all the answers

What are the three major cell types in the pancreas?

<p>Alpha cells, Beta cells, and Delta cells.</p> Signup and view all the answers

What does the alpha cell secrete?

<p>Glucagon.</p> Signup and view all the answers

What do the beta cells secrete?

<p>Insulin</p> Signup and view all the answers

What are the primary reproductive organs?

<p>The testes in males and the ovaries in the females.</p> Signup and view all the answers

The thyroid is located in the neck, close to the trachea.

<p>True (A)</p> Signup and view all the answers

What are the four main causes of ADH insufficiency (secondary diabetes insipidus)?

<p>tumors of the hypothalamopituitary region, trauma (e.g. traumatic brain injuries), infectious process (e.g., meningitis), or vascular accidents (e.g. strokes) etc</p> Signup and view all the answers

What are the three main types of pituitary tumors?

<p>Eosinophilic Tumor, Basophilic Tumor, Chromophobic Tumor (B)</p> Signup and view all the answers

Eosinophilic tumor is responsible for gigantism.

<p>True (A)</p> Signup and view all the answers

Basophilic tumor is responsible for Cushing's Syndrome

<p>True (A)</p> Signup and view all the answers

Chromophobic tumors produce hormones.

<p>False (B)</p> Signup and view all the answers

What is the other name of Grave's Disease?

<p>Toxic diffuse goiter or Exophthalmic goiter</p> Signup and view all the answers

Grave's Disease is more common in women.

<p>True (A)</p> Signup and view all the answers

What are the four main causes of Graves' disease?

<p>Over functioning of the entire gland, Single or multiple functioning adenomas of thyroid cancer, Over treatment of myxedema with thyroid hormone, and a combination of these.</p> Signup and view all the answers

What are some of the hallmarks of Graves Disease?

<p>Hyperthyroidism, Thyroid gland enlargement, Exophthalmos (C)</p> Signup and view all the answers

Grave's Disease is an autoimmune disorder.

<p>True (A)</p> Signup and view all the answers

What is the name of the autoantibodies, present in the serum of 80 to 90 percent of hyperthyroid individuals, that react against thyroglobulin?

<p>Thyroid-stimulating immunoglobulins (TSI)</p> Signup and view all the answers

What are three major forms of Graves' disease therapy?

<p>Antithyroid medication, Radioiodine, Surgery (C)</p> Signup and view all the answers

Thyroid Storm is caused by uncontrolled and potentially life-threatening hyperthyroidism due to sudden and excessive release of thyroid hormone into the bloodstream.

<p>True (A)</p> Signup and view all the answers

What are the four main precipitating factors of Thyroid Storm?

<p>Stress, Infection, Unprepared thyroid surgery, and a combination of these</p> Signup and view all the answers

What are the clinical manifestations of Thyroid Storm?

<p>Hyperpyrexia, Diarrhea, Dehydration, Extreme Tachycardia, Arrhythmias, Extreme Irritability, Delirium, Coma, Shock, and Death if not adequately treated</p> Signup and view all the answers

What is the most common autoimmune disease affecting the thyroid gland?

<p>Hashimoto's thyroiditis</p> Signup and view all the answers

What are the four main causes of hypothyroidism?

<p>Hashimoto's thyroiditis, Medications, Radiation to the neck and head, Congenital defects (C)</p> Signup and view all the answers

Myxedema is the term used for hypothyroidism in adults.

<p>True (A)</p> Signup and view all the answers

Cretinism is the term used for hypothyroidism in infants and children.

<p>True (A)</p> Signup and view all the answers

Hypothyroidism can cause bone pain and tenderness.

<p>True (A)</p> Signup and view all the answers

Increased serum calcium level is one of the hallmarks of hyperparathyroidism

<p>True (A)</p> Signup and view all the answers

What are the three types of hyperparathyroidism?

<p>Primary hyperparathyroidism, Secondary hyperparathyroidism, and Tertiary hyperparathyroidism.</p> Signup and view all the answers

In secondary hyperparathyroidism, the body produces extra parathyroid hormone because the calcium levels are too low.

<p>True (A)</p> Signup and view all the answers

In Tertiary hyperparathyroidism, the parathyroid glands continue to produce too much parathyroid hormone, even though the calcium level is back to normal.

<p>True (A)</p> Signup and view all the answers

What is the name of the condition when blood pH is too high, potentially associated with hyperparathyroidism?

<p>Metabolic alkalosis.</p> Signup and view all the answers

Hypoparathyroidism causes abnormally low blood levels of calcium and phosphorous, due to insufficient parathyroid hormone.

<p>True (A)</p> Signup and view all the answers

What are some symptoms of hypoparathyroidism?

<p>Tingling lips, hands, and feet, Muscle cramps, Pain in the face, legs, and feet, Abdominal pain, Dry hair, Brittle nails, Dry, scaly skin, Cataracts, Weakened tooth enamel in children, Muscle spasms (tetany), Convulsions or seizures</p> Signup and view all the answers

The goal of hypoparathyroidism treatment is to increase serum calcium levels to 9 to 10 mg/dl and to treat symptoms.

<p>True (A)</p> Signup and view all the answers

What is Addison's disease?

<p>Adrenal hormone deficiency caused by damage to the outer layer of the adrenal gland (adrenal cortex).</p> Signup and view all the answers

What are some common causes of Addison's disease?

<p>Autoimmune disease, Infections, Hemorrhage, Tumors (B)</p> Signup and view all the answers

Low blood pressure is a common sign of Addison's disease.

<p>True (A)</p> Signup and view all the answers

What are the primary treatments for Addison's disease?

<p>Restoring blood circulation and administering fluids and corticosteroids (D)</p> Signup and view all the answers

What are some complications that can occur with Addison's disease?

<p>Skeletal damage, Urinary tract infection, Peptic ulcer disease, Pancreatitis, Pseudogout (B), Skeletal damage, Urinary tract infection, Peptic ulcer disease, Pancreatitis, Pseudogout (C)</p> Signup and view all the answers

Cushing's disease involves excessive corticosteroid production.

<p>True (A)</p> Signup and view all the answers

Cushing's disease is often associated with weight gain, buffalo hump, and skin discoloration.

<p>True (A)</p> Signup and view all the answers

Diabetes mellitus is a group of metabolic diseases characterized by increased levels of glucose in the blood resulting from defects in insulin secretion, insulin action, or both.

<p>True (A)</p> Signup and view all the answers

What are three main types of diabetes?

<p>Insulin-dependent diabetes (Type 1), Non-insulin dependent diabetes (Type 2), and Gestational diabetes.</p> Signup and view all the answers

Gestational diabetes usually occurs during pregnancy.

<p>True (A)</p> Signup and view all the answers

What are some of the hallmarks of diabetes?

<p>Polydipsia, Polyuria, Polyphagia, Hyperglycemia, Weight loss, Blurred vision, Slow wound healing, Vaginal infections, Weakness &amp; paresthesias, Signs of inadequate feet circulation</p> Signup and view all the answers

Exercise is an important part of managing diabetes.

<p>True (A)</p> Signup and view all the answers

What are some of the common oral hypoglycemic agents?

<p>Chlorpropamide, Tolbutamide, Glimepinide, Acetohexamide, Repaglinide, Rosiglitazone, Metformin, Precose (B)</p> Signup and view all the answers

Hypoglycemia is a condition of low blood sugar.

<p>True (A)</p> Signup and view all the answers

What are the common signs of hypoglycemia?

<p>Sweating, Tremor, Tachycardia, Palpitations, Nervousness, Hunger</p> Signup and view all the answers

Simple carbohydrates can quickly raise blood sugar levels in a hypoglycemic event.

<p>True (A)</p> Signup and view all the answers

Diabetic ketoacidosis (DKA) is a serious diabetic complication marked by hyperglycemia, dehydration, and acidosis.

<p>True (A)</p> Signup and view all the answers

Hyperglycemic hyperosmolar nonketotic coma (HHNS), a metabolic disorder of type 2 diabetes, results from a relative insulin deficiency initiated by an illness that raises the demand for insulin.

<p>True (A)</p> Signup and view all the answers

What are the four chronic complications of diabetes mellitus?

<p>Peripheral Neuropathies, Retinopathy, Nephropathy, and Macrovascular disease.</p> Signup and view all the answers

Flashcards

What is the endocrine system?

The endocrine system is made up of hormone-secreting glands that regulate essential functions such as response to stress, growth, reproduction, and energy metabolism. These glands release hormones directly into the bloodstream.

What is the pituitary gland?

The pituitary gland, often called the "master gland", is located at the base of the brain. It controls the activity of other endocrine glands by releasing hormones that stimulate or inhibit their function.

What hormones does the anterior pituitary secrete?

The anterior pituitary secretes hormones like Growth Hormone (GH), Prolactin, Gonadotropic hormones (LH & FSH), Thyroid-stimulating hormone (TSH), and Adrenocorticotropic hormone (ACTH), which regulate numerous bodily functions.

What hormones does the posterior pituitary secrete?

The posterior pituitary secretes hormones like Antidiuretic hormone (ADH) and Oxytocin, which regulate water balance and uterine contractions.

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What is the thyroid gland?

The thyroid gland is located in the neck, near the trachea. It produces thyroid hormones (T3 and T4) that regulate metabolism, growth, and development.

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What are the parathyroid glands?

The parathyroid glands are small, located near the thyroid gland. They secrete Parathyroid Hormone (PTH), which regulates calcium levels in the blood.

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What are the adrenal glands?

The adrenal glands are located above the kidneys. They produce hormones like cortisol, aldosterone, and adrenaline, which regulate stress responses, blood pressure, and energy levels.

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What is the pancreas?

The pancreas is an organ near the stomach. Its endocrine part called the 'Islets of Langerhans' secretes hormones like insulin and glucagon, which regulate blood sugar.

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What are the ovaries and testes?

The ovaries in women and testes in men are the primary reproductive organs. They produce sex hormones like estrogen, progesterone, and testosterone, which regulate sexual development and reproductive function.

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What is hyperpituitarism?

Hyperpituitarism is a condition where the pituitary gland produces excessive amounts of one or more hormones, often caused by a tumor.

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What is gigantism?

Gigantism is the excessive growth of long bones in children before their growth plates close, caused by hypersecretion of Growth Hormone.

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What is acromegaly?

Acromegaly is the excessive growth of bones and soft tissues in adults after their growth plates have closed, caused by hypersecretion of Growth Hormone.

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What is Cushing's disease?

Cushing's disease is a condition caused by excessive production of Adrenocorticotropic hormone (ACTH) by the pituitary gland, leading to an overproduction of cortisol from the adrenal glands.

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What is hypopituitarism?

Hypopituitarism is a condition where the pituitary gland produces insufficient amounts of one or more hormones.

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What is dwarfism?

Dwarfism is the condition of abnormally short stature caused by a deficiency in Growth Hormone.

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What is diabetes insipidus?

Diabetes insipidus is a disorder of the posterior pituitary gland characterized by a deficiency of Antidiuretic hormone (ADH), leading to excessive urination and thirst.

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What is SIADH?

SIADH (Syndrome of Inappropriate Antidiuretic Hormone) is a condition where the body produces too much antidiuretic hormone (ADH), leading to water retention and low sodium levels.

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What is a goiter?

A goiter is an enlargement of the thyroid gland caused by a lack of iodine or other factors.

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What is hyperthyroidism?

Hyperthyroidism, also called thyrotoxicosis, is a condition where the thyroid gland produces too much thyroid hormone (T3 and T4), leading to an overactive metabolism.

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What is Graves' disease?

Graves' disease is an autoimmune disorder that causes hyperthyroidism.

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What is hypothyroidism?

Hypothyroidism, also called Myxedema, is a condition where the thyroid gland doesn't produce enough thyroid hormone (T3 and T4), leading to a slow metabolism.

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What is a thyroid storm?

Thyroid storm is a life-threatening condition caused by a sudden and excessive release of thyroid hormone into the bloodstream, leading to severe hyperthyroidism symptoms.

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What is hyperparathyroidism?

Hyperparathyroidism is a condition where the parathyroid glands produce too much Parathyroid Hormone (PTH), leading to high calcium levels in the blood.

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What is hypoparathyroidism?

Hypoparathyroidism is a condition where the parathyroid glands don't produce enough Parathyroid Hormone (PTH), leading to low calcium levels in the blood.

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What is Addison's disease?

Addison's disease is a condition where the adrenal glands don't produce enough cortisol and aldosterone, leading to a variety of symptoms like fatigue, weight loss, and darkening of the skin.

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What is diabetes mellitus?

Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar levels caused by problems with insulin production or action.

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What is Insulin-dependent diabetes?

Insulin-dependent diabetes (Type 1) is an autoimmune disorder where the body's immune system attacks the insulin-producing cells in the pancreas, requiring insulin injections.

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What is Non-insulin dependent diabetes?

Non-insulin dependent diabetes (Type 2) is a condition where the body either doesn't produce enough insulin or doesn't use it effectively, often manageable with lifestyle changes and oral medications.

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What is gestational diabetes?

Gestational diabetes is a form of diabetes that occurs only during pregnancy, usually resolving after delivery.

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What is Diabetic ketoacidosis (DKA)?

Diabetic ketoacidosis (DKA) is a serious complication of diabetes characterized by high blood sugar, dehydration, and acidosis.

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What is hypoglycemia?

Hypoglycemia is a condition where blood sugar levels are too low, often caused by too much insulin.

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What is Hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?

Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is a serious complication of diabetes characterized by extremely high blood sugar levels, dehydration, and altered mental status.

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Study Notes

Endocrine System

  • Composed of hormone-secreting glands
  • Regulates vital functions like:
    • Stress and injury response
    • Growth and development
    • Reproduction
    • Ionic homeostasis
    • Energy metabolism

Pituitary Gland

  • Also known as the hypophysis, the master gland
  • Two parts:
    • Anterior pituitary (adenohypophysis): secretes
      • Growth hormone (GH) or Somatotropin
      • Prolactin (Mammotropic, Lactotropic, Luteotropic)
      • Gonadotropic hormones (LH & FSH)
      • Thyrotropic hormone (TSH)
      • Adrenocorticotropic hormones (ACTH)
    • Posterior pituitary (neurohypophysis): secretes
      • Antidiuretic hormone (ADH)
      • Oxytocin
      • Melanocyte-stimulating hormone (MSH)

Thyroid and Parathyroid Glands

  • Thyroid gland: butterfly-shaped in the neck
    • Secretes thyroxine (T4), triiodothyronine (T3), and thyrocalcitonin
  • Parathyroid glands: small, located beside the thyroid
    • Secretes parathormone (PTH)

Adrenal Glands

  • Two adrenal glands, located above the kidneys
  • Two regions:
    • Inner medulla: Source of epinephrine and norepinephrine
    • Outer cortex: Secretes glucocorticoids and mineralocorticoids
    • Adrenal cortex: secretes
      • Glucocorticoids
      • Mineralocorticoids
      • Androgens
    • Adrenal medulla: secretes
      • Epinephrine (adrenaline)

Pancreas

  • Elongated organ near the small intestine
  • Endocrine pancreas: cells that synthesize and secrete hormones
  • Islets of Langerhans: small clusters of cells that produce hormones
  • Three major cell types:
    • Alpha cells (A cells): secrete glucagon
    • Beta cells (B cells): produce insulin and amylin
    • Delta cells (D cells): secrete somatostatin

Ovaries and Testes

  • Gonads: primary reproductive organs
  • Testes in males, ovaries in females
  • Produce gametes (sperm and ova) and hormones

Hyperthyroidism

  • Over-secretion of thyroid hormones
  • Types: Graves' disease, toxic multinodular goiter, toxic adenoma, thyroiditis
  • Symptoms: weight loss, nervousness, heat intolerance, increased sweating, rapid heartbeat
  • Treatment: Antithyroid medications, Radioactive iodine therapy, Surgery

Hypothyroidism

  • Under-secretion of thyroid hormones
  • Symptoms: fatigue, cold intolerance, constipation, weight gain, depression, brittle nails

Diabetes Insipidus

  • Disorder of posterior pituitary
  • Deficiency of ADH (vasopressin)
  • Symptoms: polyuria, polydipsia, low urine specific gravity.
  • Treatment: Desmopressin (DDAVP)

SIADH (Syndrome of Inappropriate Antidiuretic Hormone)

  • Excessive ADH secretion
  • Symptoms: fluid retention, hyponatremia, headache, confusion
  • Treatment: fluid restriction, medications to increase urine output

Hyperparathyroidism

  • Overproduction of parathyroid hormone (PTH)
  • Symptoms: increased calcium levels, bone pain, kidney stones, fatigue
  • Treatment: Surgery, medications

Hypoparathyroidism

  • Insufficient parathyroid hormone (PTH) production
  • Symptoms: low calcium levels, muscle cramps, numbness, tingling
  • Treatment: calcium and vitamin D supplements

Addison's Disease

  • Adrenal cortex insufficiency
  • Symptoms: fatigue, weakness, weight loss, low blood pressure, increased pigmentation
  • Treatment: hormone replacement therapy

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