Podcast
Questions and Answers
Which condition is characterized by the enlargement of facial features and extremities in adulthood due to excessive growth hormone?
Which condition is characterized by the enlargement of facial features and extremities in adulthood due to excessive growth hormone?
- Hypopituitarism
- Cushing's disease
- Acromegaly (correct)
- Addison's disease
Hypopituitarism is diagnosed when there is underactivity of the pituitary gland affecting at least how many hormonal axes according to the provided text?
Hypopituitarism is diagnosed when there is underactivity of the pituitary gland affecting at least how many hormonal axes according to the provided text?
- Two (correct)
- Four
- Three
- One
Diabetes Insipidus is directly related to the deficiency or reduced action of which hormone?
Diabetes Insipidus is directly related to the deficiency or reduced action of which hormone?
- Antidiuretic Hormone (ADH) (correct)
- Thyroid Hormone
- Growth Hormone (GH)
- Insulin
Exophthalmos, a symptom characterized by protruding eyeballs, is most closely associated with which endocrine disorder?
Exophthalmos, a symptom characterized by protruding eyeballs, is most closely associated with which endocrine disorder?
Hashimoto's disease is most directly linked to which endocrine condition?
Hashimoto's disease is most directly linked to which endocrine condition?
Which of the following is a dental manifestation specifically listed as being associated with thyroid disorders in children?
Which of the following is a dental manifestation specifically listed as being associated with thyroid disorders in children?
Secondary hyperparathyroidism, as described in the text, is most frequently caused by:
Secondary hyperparathyroidism, as described in the text, is most frequently caused by:
Considering the symptoms listed for hypothyroidism, which of the following pairs of symptoms are paradoxical, representing opposite physiological effects?
Considering the symptoms listed for hypothyroidism, which of the following pairs of symptoms are paradoxical, representing opposite physiological effects?
If a patient presents with symptoms including fatigue, weight gain, cold sensitivity, and muscle cramps, and is diagnosed with Myxedema, which of the following hormonal imbalances is the MOST likely underlying cause?
If a patient presents with symptoms including fatigue, weight gain, cold sensitivity, and muscle cramps, and is diagnosed with Myxedema, which of the following hormonal imbalances is the MOST likely underlying cause?
Which of the following is a rare, tertiary symptom associated with a specific condition?
Which of the following is a rare, tertiary symptom associated with a specific condition?
A patient is experiencing polyuria, polydipsia, and is diagnosed with Diabetes Insipidus. If further tests reveal no issues with ADH production in the pituitary gland, the MOST probable form of Diabetes Insipidus is:
A patient is experiencing polyuria, polydipsia, and is diagnosed with Diabetes Insipidus. If further tests reveal no issues with ADH production in the pituitary gland, the MOST probable form of Diabetes Insipidus is:
A patient reports tingling sensations in their fingertips, toes, and lips. This symptom is most likely associated with:
A patient reports tingling sensations in their fingertips, toes, and lips. This symptom is most likely associated with:
Which of the following is a potential oral manifestation of hypercortisolism?
Which of the following is a potential oral manifestation of hypercortisolism?
Excessive androgens are associated with which of the following conditions?
Excessive androgens are associated with which of the following conditions?
Oral candidiasis occurs at elevated rates in patients with hypercortisolism because they are more susceptible to what type of infection?
Oral candidiasis occurs at elevated rates in patients with hypercortisolism because they are more susceptible to what type of infection?
A patient presents with muscle pains, particularly in their legs and feet, alongside mood changes and dry skin. Which condition is most likely?
A patient presents with muscle pains, particularly in their legs and feet, alongside mood changes and dry skin. Which condition is most likely?
What is the primary function of the adrenal glands?
What is the primary function of the adrenal glands?
Which of the following is characterized by a tumor overproducing epinephrine and norepinephrine?
Which of the following is characterized by a tumor overproducing epinephrine and norepinephrine?
A dentist is evaluating a panoramic radiograph and notices a large radiolucent lesion in the posterior mandible, distal to the first molar. Given the patient’s history of tertiary hyperparathyroidism, what is the most likely diagnosis?
A dentist is evaluating a panoramic radiograph and notices a large radiolucent lesion in the posterior mandible, distal to the first molar. Given the patient’s history of tertiary hyperparathyroidism, what is the most likely diagnosis?
What is the primary risk associated with abruptly stopping steroid medication, especially in individuals with very low steroid levels in the body?
What is the primary risk associated with abruptly stopping steroid medication, especially in individuals with very low steroid levels in the body?
A patient exhibiting coarse hair that breaks easily, along with fingernails that also break easily, is MOST likely experiencing a deficiency related to which mineral imbalance?
A patient exhibiting coarse hair that breaks easily, along with fingernails that also break easily, is MOST likely experiencing a deficiency related to which mineral imbalance?
Which treatment is typically prescribed for a patient diagnosed with hypoparathyroidism?
Which treatment is typically prescribed for a patient diagnosed with hypoparathyroidism?
A pregnant patient presents with a pyogenic granuloma. What is the recommended initial course of action?
A pregnant patient presents with a pyogenic granuloma. What is the recommended initial course of action?
In managing a patient with acromegaly, which hormonal imbalance is the primary target of treatment?
In managing a patient with acromegaly, which hormonal imbalance is the primary target of treatment?
A patient undergoing treatment for hyperparathyroidism develops hypercalcemia unresponsive to rehydration and bisphosphonates. Furthermore, imaging reveals an enlarged parathyroid gland. What is the MOST likely next step in the management of this patient?
A patient undergoing treatment for hyperparathyroidism develops hypercalcemia unresponsive to rehydration and bisphosphonates. Furthermore, imaging reveals an enlarged parathyroid gland. What is the MOST likely next step in the management of this patient?
What is the primary distinction between endocrine and exocrine glands?
What is the primary distinction between endocrine and exocrine glands?
Which of the following is NOT directly controlled or coordinated by hormones?
Which of the following is NOT directly controlled or coordinated by hormones?
The thymus gland undergoes significant changes throughout a person's life. Which of the following statements accurately describes this change?
The thymus gland undergoes significant changes throughout a person's life. Which of the following statements accurately describes this change?
Which term describes a condition characterized by an increased production of hormones?
Which term describes a condition characterized by an increased production of hormones?
Tissue destruction of the thyroid can lead to decreased hormone production. Which of the following is an iatrogenic cause of such destruction?
Tissue destruction of the thyroid can lead to decreased hormone production. Which of the following is an iatrogenic cause of such destruction?
A patient presents with symptoms of hormone imbalance. Testing reveals the presence of a benign growth on one of their endocrine glands. Which of the following is the MOST likely cause of the patient's hormone imbalance?
A patient presents with symptoms of hormone imbalance. Testing reveals the presence of a benign growth on one of their endocrine glands. Which of the following is the MOST likely cause of the patient's hormone imbalance?
A researcher is investigating the effects of a novel drug on hormone production. They observe that the drug significantly reduces the expression of a specific enzyme involved in the synthesis of a particular hormone within the adrenal gland. Which of the following outcomes is MOST likely to occur as a direct result of this drug's action?
A researcher is investigating the effects of a novel drug on hormone production. They observe that the drug significantly reduces the expression of a specific enzyme involved in the synthesis of a particular hormone within the adrenal gland. Which of the following outcomes is MOST likely to occur as a direct result of this drug's action?
A patient who has undergone a partial thyroidectomy maintains approximately one-third of their original thyroid tissue. Post-operatively, the patient exhibits symptoms of hypothyroidism. Assuming no other complications, which of the following mechanisms BEST explains the development of hypothyroidism in this patient?
A patient who has undergone a partial thyroidectomy maintains approximately one-third of their original thyroid tissue. Post-operatively, the patient exhibits symptoms of hypothyroidism. Assuming no other complications, which of the following mechanisms BEST explains the development of hypothyroidism in this patient?
Hyperpigmentation is a notable symptom associated with which of the following conditions?
Hyperpigmentation is a notable symptom associated with which of the following conditions?
An Addisonian crisis is most likely triggered by what factor in a dental setting?
An Addisonian crisis is most likely triggered by what factor in a dental setting?
What is the general recommendation regarding the dosage of corticosteroid medication for patients with Addison's disease on the day of a dental appointment?
What is the general recommendation regarding the dosage of corticosteroid medication for patients with Addison's disease on the day of a dental appointment?
The Hypothalamus-Pituitary-Adrenal (HPA) axis primarily regulates the release of which hormone in response to stress?
The Hypothalamus-Pituitary-Adrenal (HPA) axis primarily regulates the release of which hormone in response to stress?
What physiological effect is least likely to result from increased cortisol levels due to prolonged stress?
What physiological effect is least likely to result from increased cortisol levels due to prolonged stress?
Why is the abrupt withdrawal of corticosteroids dangerous?
Why is the abrupt withdrawal of corticosteroids dangerous?
Which of the following is NOT a typical sign or symptom of an Addisonian crisis?
Which of the following is NOT a typical sign or symptom of an Addisonian crisis?
In the context of Addison's disease, 'secondary' adrenal insufficiency is often linked to:
In the context of Addison's disease, 'secondary' adrenal insufficiency is often linked to:
A patient with Addison's disease presents with severe vomiting and diarrhea. Which electrolyte imbalance is most likely to be observed?
A patient with Addison's disease presents with severe vomiting and diarrhea. Which electrolyte imbalance is most likely to be observed?
Which of the following is the most accurate description of the feedback loop involving the adrenal glands, pituitary gland, and hypothalamus (HPA axis)?
Which of the following is the most accurate description of the feedback loop involving the adrenal glands, pituitary gland, and hypothalamus (HPA axis)?
Which of the following scenarios would MOST likely result in a state of hormone hyperproduction due to genetic factors?
Which of the following scenarios would MOST likely result in a state of hormone hyperproduction due to genetic factors?
If a patient who has undergone removal of two-thirds of their thyroid gland subsequently exhibits hypothyroidism symptoms, what is the MOST likely underlying mechanism, assuming no additional complications are present?
If a patient who has undergone removal of two-thirds of their thyroid gland subsequently exhibits hypothyroidism symptoms, what is the MOST likely underlying mechanism, assuming no additional complications are present?
A researcher is investigating the impact of a novel drug on adrenal gland function. The drug significantly reduces the expression of a key enzyme involved in cortisol synthesis. Assuming no compensatory mechanisms are activated, which cascade of events is MOST likely to follow?
A researcher is investigating the impact of a novel drug on adrenal gland function. The drug significantly reduces the expression of a key enzyme involved in cortisol synthesis. Assuming no compensatory mechanisms are activated, which cascade of events is MOST likely to follow?
A patient's medical history reveals a slowly growing, benign tumor located on one of their adrenal glands. Despite its benign nature, the patient is experiencing symptoms indicative of hormone imbalance. Which of the following is the MOST probable mechanism by which this tumor is causing hormonal dysregulation?
A patient's medical history reveals a slowly growing, benign tumor located on one of their adrenal glands. Despite its benign nature, the patient is experiencing symptoms indicative of hormone imbalance. Which of the following is the MOST probable mechanism by which this tumor is causing hormonal dysregulation?
Following a motor vehicle accident with significant trauma, a previously healthy individual develops acute adrenal insufficiency. Which of the following pathogenic pathways is MOST likely responsible for this endocrine dysfunction?
Following a motor vehicle accident with significant trauma, a previously healthy individual develops acute adrenal insufficiency. Which of the following pathogenic pathways is MOST likely responsible for this endocrine dysfunction?
A patient presents with persistent fatigue, constipation, depression, and reports increased sensitivity to cold. The patient's nails are brittle, and their hair is dry and coarse. These symptoms are MOST indicative of which of the following conditions?
A patient presents with persistent fatigue, constipation, depression, and reports increased sensitivity to cold. The patient's nails are brittle, and their hair is dry and coarse. These symptoms are MOST indicative of which of the following conditions?
A dentist notes enamel hypoplasia, delayed tooth eruption, and micrognathia during a routine check-up of an 8-year-old patient. Considering the information provided, which endocrine disorder is MOST likely associated with these dental findings?
A dentist notes enamel hypoplasia, delayed tooth eruption, and micrognathia during a routine check-up of an 8-year-old patient. Considering the information provided, which endocrine disorder is MOST likely associated with these dental findings?
A patient complaining of heart palpitations, difficulty sleeping, and increased irritability is diagnosed with hyperthyroidism. What underlying pathological mechanism is MOST likely contributing to these signs and symptoms?
A patient complaining of heart palpitations, difficulty sleeping, and increased irritability is diagnosed with hyperthyroidism. What underlying pathological mechanism is MOST likely contributing to these signs and symptoms?
A patient with diagnosed hypopituitarism reports symptoms suggesting both hypothyroidism and adrenal insufficiency. Considering the interplay within the endocrine system, what is the MOST likely underlying mechanism causing dual endocrine deficiencies in this patient?
A patient with diagnosed hypopituitarism reports symptoms suggesting both hypothyroidism and adrenal insufficiency. Considering the interplay within the endocrine system, what is the MOST likely underlying mechanism causing dual endocrine deficiencies in this patient?
Which of the following best describes the underlying mechanism leading to nephrogenic diabetes insipidus?
Which of the following best describes the underlying mechanism leading to nephrogenic diabetes insipidus?
In the intricate landscape of endocrine physiology, imagine a scenario where a novel synthetic peptide, designed to selectively bind to a G protein-coupled receptor (GPCR) on a specific endocrine cell type, paradoxically elicits sustained receptor internalization without activating downstream signaling cascades. Assuming no confounding variables and a fully functional cellular protein degradation machinery, what is the MOST likely long-term consequence of chronic exposure to this peptide on the affected endocrine gland's hormonal output?
In the intricate landscape of endocrine physiology, imagine a scenario where a novel synthetic peptide, designed to selectively bind to a G protein-coupled receptor (GPCR) on a specific endocrine cell type, paradoxically elicits sustained receptor internalization without activating downstream signaling cascades. Assuming no confounding variables and a fully functional cellular protein degradation machinery, what is the MOST likely long-term consequence of chronic exposure to this peptide on the affected endocrine gland's hormonal output?
Consider a patient presenting with a complex endocrine anomaly characterized by concurrent hypersecretion of both cortisol and growth hormone (GH), alongside paradoxical suppression of adrenocorticotropic hormone (ACTH) and GH-releasing hormone (GHRH). Advanced imaging reveals the presence of two distinct, non-contiguous tumors: one in the adrenal cortex and another in the anterior pituitary. Assuming both tumors are monoclonal and responsive to standard endocrine therapies, which therapeutic strategy would MOST effectively address the hormonal imbalances while minimizing iatrogenic complications?
Consider a patient presenting with a complex endocrine anomaly characterized by concurrent hypersecretion of both cortisol and growth hormone (GH), alongside paradoxical suppression of adrenocorticotropic hormone (ACTH) and GH-releasing hormone (GHRH). Advanced imaging reveals the presence of two distinct, non-contiguous tumors: one in the adrenal cortex and another in the anterior pituitary. Assuming both tumors are monoclonal and responsive to standard endocrine therapies, which therapeutic strategy would MOST effectively address the hormonal imbalances while minimizing iatrogenic complications?
A research team is investigating the impact of chronic exposure to a novel environmental endocrine disruptor on zebrafish development. They hypothesize that this compound competitively binds to thyroid hormone receptors (TRs) but only weakly activates them, exhibiting partial agonist activity. Which of the following experimental findings would provide the STRONGEST evidence supporting their hypothesis, assuming all other factors are controlled and measured accurately?
A research team is investigating the impact of chronic exposure to a novel environmental endocrine disruptor on zebrafish development. They hypothesize that this compound competitively binds to thyroid hormone receptors (TRs) but only weakly activates them, exhibiting partial agonist activity. Which of the following experimental findings would provide the STRONGEST evidence supporting their hypothesis, assuming all other factors are controlled and measured accurately?
Consider a scenario in which a patient with long-standing, well-controlled type 1 diabetes mellitus develops progressive autonomic neuropathy affecting the adrenal medulla. Which of the following physiological responses to a hypoglycemic event (e.g., induced by an insulin overdose) would be MOST significantly impaired in this patient, thereby increasing the risk of severe and prolonged hypoglycemia?
Consider a scenario in which a patient with long-standing, well-controlled type 1 diabetes mellitus develops progressive autonomic neuropathy affecting the adrenal medulla. Which of the following physiological responses to a hypoglycemic event (e.g., induced by an insulin overdose) would be MOST significantly impaired in this patient, thereby increasing the risk of severe and prolonged hypoglycemia?
A researcher is investigating the effects of a novel synthetic glucocorticoid on osteoblast differentiation in vitro. They observe that while the glucocorticoid initially stimulates osteoblast differentiation at low concentrations, prolonged exposure or high concentrations paradoxically inhibit mineralization and promote osteocyte apoptosis. Furthermore, they discover that this biphasic effect is mediated through a non-genomic mechanism involving direct interaction with a transmembrane receptor distinct from the classical intracellular glucocorticoid receptor (GR). Which of the following molecular pathways is MOST likely responsible for the observed switch from osteoblast differentiation to osteocyte apoptosis under chronic, high-dose glucocorticoid exposure?
A researcher is investigating the effects of a novel synthetic glucocorticoid on osteoblast differentiation in vitro. They observe that while the glucocorticoid initially stimulates osteoblast differentiation at low concentrations, prolonged exposure or high concentrations paradoxically inhibit mineralization and promote osteocyte apoptosis. Furthermore, they discover that this biphasic effect is mediated through a non-genomic mechanism involving direct interaction with a transmembrane receptor distinct from the classical intracellular glucocorticoid receptor (GR). Which of the following molecular pathways is MOST likely responsible for the observed switch from osteoblast differentiation to osteocyte apoptosis under chronic, high-dose glucocorticoid exposure?
Which of the following best describes the primary mechanism by which endocrine glands deliver their products to target tissues?
Which of the following best describes the primary mechanism by which endocrine glands deliver their products to target tissues?
Which of the following BEST illustrates the role of hormones as 'chemical messengers'?
Which of the following BEST illustrates the role of hormones as 'chemical messengers'?
Which of the following scenarios would MOST likely result in hormone hyperproduction due to genetic factors?
Which of the following scenarios would MOST likely result in hormone hyperproduction due to genetic factors?
A patient presents with symptoms of hormone imbalance after undergoing partial removal of an endocrine gland. Assuming no complications, which factor is MOST influential in determining whether the patient develops a hormone deficiency?
A patient presents with symptoms of hormone imbalance after undergoing partial removal of an endocrine gland. Assuming no complications, which factor is MOST influential in determining whether the patient develops a hormone deficiency?
Consider a scenario in which a novel drug selectively inhibits the transport of thyroid hormones into target cells, without affecting hormone synthesis or secretion. Assuming no compensatory mechanisms are activated, which of the following outcomes is MOST likely to occur at the level of target tissues?
Consider a scenario in which a novel drug selectively inhibits the transport of thyroid hormones into target cells, without affecting hormone synthesis or secretion. Assuming no compensatory mechanisms are activated, which of the following outcomes is MOST likely to occur at the level of target tissues?
Which of the following conditions results from decreased production of Antidiuretic Hormone (ADH)?
Which of the following conditions results from decreased production of Antidiuretic Hormone (ADH)?
What is a goitre?
What is a goitre?
Which of the following oral manifestations is associated with thyroid disorders in children?
Which of the following oral manifestations is associated with thyroid disorders in children?
Panhypopituitarism is characterized by a deficiency in multiple hormones produced by the pituitary gland. Beyond the hormones explicitly mentioned, which of the following clinical manifestations would MOST likely also be present in an individual with panhypopituitarism?
Panhypopituitarism is characterized by a deficiency in multiple hormones produced by the pituitary gland. Beyond the hormones explicitly mentioned, which of the following clinical manifestations would MOST likely also be present in an individual with panhypopituitarism?
A hypothetical individual is genetically predisposed to developing an autoimmune disorder targeting endocrine glands. Further suppose that this individual's immune system mistakenly recognizes a crucial enzyme involved in the synthesis of steroid hormones within both the adrenal cortex and the gonads. If this autoimmune process leads to substantial destruction of hormone-producing cells in both tissues, which of the following hormonal profiles would MOST likely be observed in this patient?
A hypothetical individual is genetically predisposed to developing an autoimmune disorder targeting endocrine glands. Further suppose that this individual's immune system mistakenly recognizes a crucial enzyme involved in the synthesis of steroid hormones within both the adrenal cortex and the gonads. If this autoimmune process leads to substantial destruction of hormone-producing cells in both tissues, which of the following hormonal profiles would MOST likely be observed in this patient?
Flashcards
Endocrine Glands
Endocrine Glands
Ductless glands that secrete products directly into the bloodstream.
Exocrine Glands
Exocrine Glands
Glands that secrete products into a ductal system leading to an epithelial surface.
Hormones
Hormones
Chemical messengers that control and coordinate various bodily functions.
Hyper-
Hyper-
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Hypo-
Hypo-
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Autoimmune (Endocrine)
Autoimmune (Endocrine)
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Tumors (Endocrine)
Tumors (Endocrine)
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Genetic (Endocrine)
Genetic (Endocrine)
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Adrenal Crisis
Adrenal Crisis
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Steroid Tapering
Steroid Tapering
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Periodontal Disease & Hormones
Periodontal Disease & Hormones
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Pyogenic Granuloma/Pregnancy Epulis
Pyogenic Granuloma/Pregnancy Epulis
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Endocrine Replacement Therapy
Endocrine Replacement Therapy
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Acromegaly
Acromegaly
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Hypopituitarism
Hypopituitarism
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Diabetes Insipidus
Diabetes Insipidus
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Hyperthyroidism
Hyperthyroidism
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Hypothyroidism
Hypothyroidism
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Exophthalmos
Exophthalmos
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Goitre
Goitre
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Hashimoto's disease
Hashimoto's disease
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Delayed Tooth Eruption
Delayed Tooth Eruption
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Hyperparathyroidism
Hyperparathyroidism
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Addison's Disease (Hypo)
Addison's Disease (Hypo)
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Hyperpigmentation
Hyperpigmentation
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Addisonian Crisis
Addisonian Crisis
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Fever
Fever
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Syncope
Syncope
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Convulsions
Convulsions
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Hypoglycemia
Hypoglycemia
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Hyponatremia
Hyponatremia
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HPA Axis
HPA Axis
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Cortisol increase results in
Cortisol increase results in
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Tertiary Hyperparathyroidism Symptoms
Tertiary Hyperparathyroidism Symptoms
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Hypoparathyroidism Symptoms
Hypoparathyroidism Symptoms
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Adrenal Glands
Adrenal Glands
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Cushing Syndrome
Cushing Syndrome
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Exogenous Cushing Syndrome
Exogenous Cushing Syndrome
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Hyperaldosteronism
Hyperaldosteronism
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Adrenogenital/Virilizing Syndromes
Adrenogenital/Virilizing Syndromes
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Phaeochromocytoma
Phaeochromocytoma
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Alveolar Bone Loss (Hypercortisolism)
Alveolar Bone Loss (Hypercortisolism)
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Oral Candidiasis (Hypercortisolism)
Oral Candidiasis (Hypercortisolism)
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Exocrine System
Exocrine System
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Major Endocrine Glands
Major Endocrine Glands
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Causes of Endocrine Disorders
Causes of Endocrine Disorders
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Thyroid Gland
Thyroid Gland
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Ductless Glands
Ductless Glands
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Thymus Gland
Thymus Gland
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Hormones Definition
Hormones Definition
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Chemical Messengers (Hormones)
Chemical Messengers (Hormones)
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Study Notes
Endocrine Glands
- Ductless glands secrete products directly into the bloodstream, unlike exocrine glands.
- Scattered throughout the body.
Endocrine Glands - Where?
- Includes the hypothalamus, pituitary, pineal, thyroid, parathyroid, thymus, pancreas, adrenals, ovaries, testes, and placenta.
- Thymus is larger in childhood and gets smaller as you age
Endocrine Glands - What Product/Action?
- Hormones are chemical messengers.
- Chemical messengers control and coordinate metabolism, energy levels, reproduction, growth, development, mood, sleep, and response to injury and stress.
- The hypothalamus produces TRH, GnRH, GHRH, CRH, somatostatin, and dopamine.
- The pituitary gland produces GH, prolactin, ACTH, TSH, LH, FSH, ADH, and oxytocin.
- The pineal gland produces melatonin.
- The thyroid produces thyroid hormone
- The parathyroid glands produce parathyroid hormone
- The thymus produces T-lymphocytes for differentiation.
- The pancreas produces insulin
- The adrenal glands produce epinephrine and corticosteroids.
- The ovaries produce estrogen and progesterone.
- The testes produce testosterone.
- The placenta produces estrogen, progesterone, hCG, HPL, PGH, relaxin, and kisspeptin.
Endocrine Glands - Disorders/Other
- Production can be affected genetically, with tumors releasing hormones, or by tissue destruction/loss/suppression. Also pregnancy not generally a disorder
- Acromegaly is related to growth hormone.
- Hypopituitarism is underacting piutary
- Diabetes Insipidus is related ADH levels
- Hyperthyroidism is related to T3 & T4 thyroxine levels.
- Hypothyroidism is a T3 & T4 thyroxine deficiency
- Hyperparathyroidism is related to high PTH levels
- Hypoparathyroidism is related to low PTH levels
- Cushing's disease is related to elevated cortisol levels
- Addison's disease a adrenal hormone deficiency
- Amenorrhea can occur
- Polycystic Ovary Syndrome causes multiple cysts on the ovaries
- Precocious Puberty is defined as early onset of puberty.
- Premature Ovarian Failure is when the ovary stops working early in a woman's life
- Hypogonadism is a deficiency of sex hormones
- Polyglandular Deficiency Syndromes (PDS) happens when multiple endocrine glands don't function properly
- Multiple Endocrine Neoplasia (MEN) causes multiple tumors to grow
- Osteoporosis is a condition that causes bone to become weak and brittle
Hypopituitarism
- Two of the symptoms need to be present for diagnosis with possible panhypopituitarism.
Acromegaly
- Results from increased growth hormone (GH).
Hyperthyroidism
- Displaying Trembling Hands, also known as Graves Disease
- Goitre is when the thyroid gland has become enlarged
Hypothyroidism
- Hashimoto’s Disease
- Displays tiredness, sensitivity to cold, weight gain, constipation, depression, slow movements and thoughts, muscle aches and weakness, muscle cramps, dry and scaly skin, brittle hair and nails, and loss of libido.
- Pain, numbness, and tingling can occur in the hand and fingers (carpal tunnel syndrome).
- Irregular or heavy periods can occur
- Can cause hair loss and weight gain
Parathyroid Glands (Hyperparathyroidism)
- Primary cause is rare, secondary is usually from tumors.
- Calcium and Vitamin D regulation is affected.
- Can show as Depression, Fatigue, appetite loss, Muscle Weakness, Tummy Pain & Constipation, Drowsiness & Confusion, HBP & Irregular Heartbeat, Osteoporosis & Bone Fractures, Kidney problems are a result, Kidney Stones & Sequalae, Stomach Ulcers & Pancreatitis
Hypoparathyroidism:
- Displays a Tingling Sensation (paraesthesia) in Fingertips, Toes, and Lips, Twitching Facial Muscles, Muscle Pains or Cramps, particularly in Legs, Feet, or Tummy, Tiredness, Irritable mood, Anxious, or Depressed, Dry, Rough Skin, Coarse Hair that breaks easily, and Fingernails that break easily - Low Calcium
- Can have tinging sensations in Extremities
Hyper - Cushing:
- Can show Alveolar Bone Loss in the jaw
Cushing Syndrome Symptoms:
- Can show Alveolar Bone Loss
- There can linked infections
- Has several personality traits that manifest with mood
- Has fat deposits on Face and Back and Linked to infection
Risks with oral Candida:
- Occurs at Elevated Rates and are more susceptible to Fungal
What happens with Addison's Disease:
- Adrenal Glands are lazy with production.
- Addisonian Crisis occurs as a result from Stress.
- Can be caused by seeing a Dentist
Medication planning for Appointments:
- Ideally DOSE of Normal Meds on day of Appointment
When using Steroid for procedure consider:
- Steroid-Dependent Patient Requires Continuous/Parenteral Steroid Cover.
- Consider using www.addisonsdisease.org.uk as guidance
Dentist Considerations:
- See what kind of Patient you have when dealing with Addison’s
Peak Timings in addisonian crisis:
- Hydrocortisone emergency in steroid dependent patients (addisonian crisis).
- Ensure a Patient has an issue that they carry an Emergency Meds
Axis feedback Loop - Stress Response:
- Hypothalamus – Pituitary with Adrenal Gland creates the loop
Autoimmune issue to consider:
- Adrenal glands causes Adrenal Crisis
Pregnancy:
- Hormones are affected as well - and dental cavities are a risk
Endocrine Glands Treatment:
- Treat the Target Organs that affect Hormone balance
Oral Complications - Diagnosis due to Bisphosphonates
Oral Complications - Diagnosis:
- Manifestations can show as Dry mouth, Oral thrush, Caries, Glossitis, and Choice of Anesthesia.
Dentist considerations to consider
- Planning of Appointments - Morning Middle Afternoon is a great time to treat patients.
- Position of Patient, be mindful of posture
- Adjusted OH - ensure oral health is kept
- Oral Complications are common in many treatments
- Diagnosis of the problem - should be considered
- Extractions - maybe another solution
- Choice of Anesthesia - may not be that important
- Consider Primary/Secondary Care - to decide appropriate medication to prescript Dry Socket - may be present in post operation
- LA with/without Adrenaline - depends on case requirements
- Medical Emergency can result
When planning appointments
- Consider Time Of Day and Length Of Appointment, try and book in the morning
- Consider whether the Patient can Tolerate Supine Position, not all patients can comfortably
- Consider Dexterity, Need and Anatomy when planning treatment
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