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VN 158 pit & adrenal
Question | Answer |
---|---|
ACROMEGALY | increased secretion of growth hormone |
DIABETES INSIPIDUS - CLASSIC SIGN | DEHYDRATION - POSTURAL VS: inreased dizziness, weakness, HR |
SIADH | DIAGNOSIS - ADMIN VASOPRESIN |
ADDISON DISEASE | cortisol & aldosterone. They are hyponatremic. Need to regulate sodium and potassium. |
ADDISON DISEASE - classic s/s | weakness & lethargy. Skin has hyperpigmentation (zebra) |
CUSHING'S DISEASE - classic s/s | excess adipose tissue in abdomen. Moonface |
GIGANTISM | hyperpituitary; excess hight |
HYPOPHYSECTOMY | PRECAUTIONS - may develop DI so need to regulate I |
hormone replacement | take rest of life |
ADDISON - PRIMARY | PRIMARY ADRENAL INSUFFICIENCY due to a destructive disease process affecting the adrenal glands that results in deficiencies of CORTISOL AND ALDOSTERONE |
ADDISON - SECONDARY | result of dysfunction of the hypothalamus or pituitary (decreased corticotropin, ACTH) which leads to decreased androgen and cortisol production |
ADRENAL CRISIS | life threatening emergency results from a sudden marked decrease in available adrenal hormones. |
ADRENAL CRISIS - tx | SOLUCORTEF & SOLUMEDROL IV FLUIDS |
ANTERIOR PITUITARY GLAND - ACTH | stimulates the release of hormones from the ADRENAL CORTEX |
ANTERIOR PITUITARY GLAND - LH | in women, stimulates the production of SEX HORMONES in ovaries during ovulation. In men, stimulates the production of testosterone in testes |
ANTERIOR PITUITARY GLAND -FSH | in women, stimulates the production of FOLLICLE DEVELOPMENT. In Men, stimulates SPERM PRODUCTION |
ANTERIOR PITUITARY GLAND -TSH | stimulates the release of THYROID HORMONE |
ANTERIOR PITUITARY GLAND -GH | promotes the body's growth and development |
ANTERIOR PITUITARY GLAND -PROLACTIN | controls milk production |
POSTERIOR PITUITARY GLAND - VASOPRESSIN | helps control the body's water and electrolyte LEVELS |
POSTERIOR PITUITARY GLAND - OXYTOCIN | promotes uterine contraction during labor and activates the milk ejection in nursing women |
ADRENAL CORTEX - CORTISOL | helps control carbohydrate, protein & lipid metabolism; protects against stress |
ADRENAL CORTEX - ALDOSTERONE | helps control the body's water and electrolyte REGULATION |
CUSHING SYNDROME | hyperexcetion of the adrenal cortex may result in production of excess amounts of corticosteroids |
CUSHING DISEASE | EXCESS PRODUCTION OF ACTH BECAUSE OF PITUITARY TUMOR |
PHEOCHROMOCYTOMA | tumor of the ADRENAL MEDULLA that causes section of excessive catecholamines. Pts exhibit episoes of HTN, hypermatabolism, hyperglycemia. |
SIADH | characterized by water imblance r/t an increase in ADH synthesis or secretion or both. Kidneys retain excessive water |
SIMMONDS CACHEXIA | pt has muscle and organ wasting and disruption of both digestion and metabolism. |
DIABETEST INSIPIDUS | characterized by excessive output of dilute urine |
NEPHROGENIC DI | an inherited defect in which the renal tubules of the kidney do not respond to ADH, resulting in inadequate water reabsorption by the kidneys. |
NEUROGENIC DI | defect in either production or excretion of ADH. From hypothalamic tumors, head trauma, infection |
DIPSOGENIC DI | disorder of thirst stimulation. When pt ingests water, serum osmolality decreases, which causes reduced vasopressin excretion. |